A COMPARATIVE STUDY OF CONVENTIONAL INCISION AND DRAINAGE VERSUS INCISION AND DRAINAGE WITH PRIMARY CLOSURE OF THE WOUND IN ACUTE ABSCESSES

Author:

Antony T. Babu1,Thirunavukkarasu S.1,Chandran Karthick2,G. Gowtham2,S. Sudhishnaa2

Affiliation:

1. Associate Professor, Dept Of General Surgery, Chengalpattu Medical College, Chengalpattu.

2. Post Graduate, Dept Of General Surgery, Chengalpattu Medical College, Chengalpattu.

Abstract

Acute abscesses are a surgical emergency and almost always require drainage, especially from supercial sites. This is a study among 100 patients in a tertiary care centre in South India to compare the efcacy of two methods of management of supercial – skin and soft tissue- abscesses in terms of post operative pain, wound healing time, duration of inpatient treatment and recurrence of abscess at primary site. The rst method was the conventional Incision and Open drainage and healing by secondary intention. The second method involved Incision and Drainage and primary closure of the wound with a negative pressure drain. The latter method was found to be signicantly superior to the conventional method in all the above mentioned outcomes. Hence, this method can be promoted along with the use of appropriate antibiotics to lessen the inconveniences of the patients.

Publisher

World Wide Journals

Reference6 articles.

1. Dubey V, Choudhary SK. (2013). Incision and drainage versus incision and drainage with primary closure and use of closed suction drain in acute abscesses. Wounds, 25:58-60.

2. Ellis M. (1960). Incision and primary suture of abscesses of the anal region. Proc R Soc Med, 53:652-3.

3. Edino ST, Ihezue CH, Obekpa PO. (2001). Outcome of primary closure of incised acute soft-tissue abscesses. Niger Postgrad Med J, 8:32-6.

4. Abraham N, Doudle M, Carson P. (1997). Open versus closed surgical treatment of abscesses: A controlled clinical trial. Aust N Z J Surg, 67:173-6.

5. Khanna YK et al. (1984). Primary closure of gluteal injection abscess (a study of 100 cases). J Postgrad Med,30:105-10.

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