A study assessing postoperative Corrugate Rubber drain of perianal abscess

Abstract

BackgroundPerianal abscess which can lead to a devastating complications. The management of perianal abscess involves incision and drainage by different methods one of them is packing the cavity.Aim of the studyThe aim is using Corrugate Rubber drain as an alternative to other methods.Patients and methodsThis study was an observational retrospective review of 137 'case series' of patients with perianal abscess over a fifteen-year period from January 2000 to December 2015. 67 patients in group A were managed by Corrugated Rubber drain and 70 patients in group B were managed by packing. In group A, males were 92.53% more than females (7.46%) while group B, males were 85.71% and the rest were females. Outcome measures were assessed; time to cavity healing, pain scoring, abscess recurrence, fistula formation, analgesic requirement and skin disfigurement.ResultsThe mean time of abscess healing in group A and B were 8.50 ± 0.49 and 8.90 ± 0.23 days respectively. Their pain score using Corrugate Rubber drain postoperative were 2/10 in group A while group B was 8/10. Most of patients in group A needed mild analgesia (52/67) (77.61%). The rate of abscess recurrence and fistula development were (22/67) (32.83%) and (21/67) (31.34%) respectively in group A which is significantly lower than group B.ConclusionsManagement of perianal abscess using Corrugate Rubber drain in compares with packing leads to immediate pain relief, low recurrence rate of abscess and fistula formation, without need to expert nursing and less ugly scar formation. This resulted in low morbidity and cost.

Spontaneous base of penile abscess successfully treated by transperineal incision and drainage: A case report

“…A corrugated drain was placed as it showed lower incidence of abscess recurrence and fistula development post-operatively. 12 Corrugate rubber drain is a type of open passive drain which causes less pain to the patient, is effective in eliminating dead space, with rubber inducing intense reaction allowing tract formation, help appose skin and quick wound healing. 12 In a retrospective study by Patel et al 13 described corrugated drain as easy to use, inexpensive and readily available, which also proved significant reduction of wound complication, increased patient compliance, and reduced length of hospital stay.…”