ASSESSMENT OF THE MANAGEMENT OF PYOGENIC ABSCESS BY DIFFERENT METHODS

Dr Suphal Kumar Gajbhiye, Dr Jaswant Jain

Abstract


Introduction.   One of the most common acute conditions in Surgical Department is   Pyogenic abscesses . Many modalities being invented , the  treatment is incision and drainage. The Objective of this study is to compare the conventional method of incision and drainage with alternative methods of primary closure with closed suction drain versus Incision and Drainage.

Methods: : Cross Sectional Analytical study design with randomization  was used. A total of 48 patients admitted to a tertiary hospital were randomly divided into two groups . A  group of 24 patients (closed ) treated with primary closure with closed suction drain and other B group (open ) of  24  with the conventional method of incision and drainage.

Results: Closed group patients had lesser time to heal, lesser bleeding ,  lesser duration of hospital stay, lesser number of dressing changes, lesser pain during dressing change, and better scar as compare to the open group.

Conclusion:  The method of incision, curettage, and primary closure with closed suction drain is more effective than conventional incision and drainage. Patient treated with closed group were having reduced postoperative pain with less duration of analgesic intake, less bleeding ,  more rapid recovery, reduced hospital stay and early return to normal work.  Hence this study


Keywords


Pyogenic abscess , Incision , drainage , Suction

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References


Ellis M. The use of penicillin and sulphonamides in the treatment of suppuration. Lancet 1957; 1:774-5.

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

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

Singer AJ, Thode HC, Chale S, Taira BR, Lee C. Primary Closure of Cutaneous abscesses: A systematic review Am J Emerg Med 2011;29:361-6.

Kale A, Athavale V. A Compative study of conventional incision and drainage versus incision and drainage with primary closure of wound in acute abscesses. Med J DY Patil Univ 2014; 7:744-7.

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

Khanna YK, Khanna A, Singh SP, Laddha BL, Prasad P, Jhanji RN. Primary closure of gluteal injection abscess (a study of 100 cases). J Postgrad Med 1984; 30:105-10.


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