Incision and drainage of cutaneous abscess with or without cavity packing: a systematic review, meta-analysis, and trial sequential analysis of randomised controlled trials

Mohamedahmed, Ali Yasen Y.; Zaman, Shafquat; Stonelake, Stephen; Ahmad, Adil; Datta, Uttaran; Hajibandeh, Shahab; Hajibandeh, Shahin

doi:10.1007/s00423-020-01941-9

Cited by 11 publications

(11 citation statements)

References 32 publications

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“…Cytokines and bacterial toxins are involved in the inflammatory process and the formation of pus [ 10 ]. Abscesses often appear below the epidermis or in the lumen of a hair follicle and are frequently found in the axillae, buttocks, perineum, groin, or breasts [ 30 ]. These lesions appear as painful, fluctuant, erythematous nodules usually surrounded by erythematous swelling.…”

Section: Reviewmentioning

confidence: 99%

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Relevant Dermatoses Among U.S. Military Service Members: An Operational Review of Management Strategies and Telemedicine Utilization

Pendlebury¹,

Oro²,

Ludlow³

et al. 2023

Cureus

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Despite skin being the largest and most exposed organ of the human body, skin issues can be challenging to diagnose in deployed military service members. Common reasons deployed soldiers seek dermatological evaluation include infections, inflammatory skin conditions, and skin growth. Due to limited access to specialized care in deployed settings, dermatological conditions are undertreated and underdiagnosed. As a result, dermatological conditions are a leading contributor to decreased combat effectiveness among deployed medical forces. To lessen the burden of dermatological diseases, military providers should promptly identify operational skin diseases and alleviate modifiable barriers faced by service members. In a post-pandemic era with novel Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and monkeypox infections, the duty to effectively treat operational skin lesions is ever important. The need for military dermatologists continues to rise as the global landscape continues to evolve with unprecedented infections and increased bioterrorism threats. Teledermatology offers many solutions to mitigate the high demand for dermatologists during pandemics. Dermatological consultations account for the highest number of telemedicine visits in the US Military Health System (MHS). As such, increased utilization of teledermatology will reduce infection-related dermatological sequelae and prevent the medical evacuation of service members from military operations. This review collates and categorizes relevant dermatological conditions encountered among deployed personnel. This report outlines the standard of care and modified treatments recommended according to potential barriers faced in operational settings.

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Section: Reviewmentioning

confidence: 99%

“…Abscesses: Abscesses are treated with incision and drainage. The wound can be packed or left exposed to air, as both approaches yielded similar outcomes in wound healing [ 30 ]. Antibiotics are also indicated if the disease is severe and widespread with signs of surrounding cellulitis or systemic illness [ 10 ].…”

Section: Reviewmentioning

confidence: 99%

Relevant Dermatoses Among U.S. Military Service Members: An Operational Review of Management Strategies and Telemedicine Utilization

Pendlebury¹,

Oro²,

Ludlow³

et al. 2023

Cureus

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“…Wound packing can generally be avoided, as it is associated with morbidity, has not been shown to provide additional benefit, and may lead to prolonged healing. 54,55 Another approach to active or localized lesions includes deroofing (or unroofing) of sinus tracts. With this approach, sinuses are incised with removal of the overlying tissue and are left to heal secondarily after probing the tracts.…”

Section: Drainage Of Infected Lesionsmentioning

confidence: 99%

Vulvoperineal Hidradenitis Suppurativa: Diagnosis, Treatment, and Management of Deformities

Ogunleye

Ndem

Bui³

et al. 2021

Obstetrical &Amp; Gynecological Survey

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Importance: Hidradenitis suppurativa (HS) is a chronic, inflammatory disorder affecting skin of intertriginous areas that is often encountered and treated by nondermatologic specialists.Objective: The purpose of this literature review is to provide a comprehensive, clinical source of information on HS as it relates to incidence of disease, pathophysiology, diagnosis, and overall management of this condition.Evidence Acquisition: Sources were obtained through a comprehensive literature search using PubMed and PMC. Various terms were used to query the database, including "hidradenitis suppurativa," "pathogenesis," "prevalence," "management," "surgery," "perineal," and "vulva."Results: Underreported prevalence and unknown pathogenesis have subsequently led to variable approaches in clinical management, often employing a combination of medical and surgical management.Conclusion: Early diagnosis and treatment of HS may lead to better disease control and minimize patients' associated morbidity related to disease.Relevance: Knowledge of vulvoperineal hidradenitis is necessary for gynecologists and primary care physicians to ensure early diagnosis, management, and referral for optimal patient outcomes.Target Audience: Obstetricians and gynecologists, family physicians.Learning Objectives: After completing this activity, the learner should be better able to describe the presentation and staging of hidradenitis suppurativa; explain possible medical and surgical treatments; and identify options for correction of vulvar deformities.Hidradenitis suppurativa (HS) is a chronic, inflammatory cutaneous disorder that occurs with a predilection for intertriginous locations such as the axilla, buttock, perineum, and groin. [1][2][3] It is a progressive disease characterized by the formation of abscesses, fistulas, and draining sinuses, as well as marked fibrosis leading to irregular, hypertrophic scarring. 1,2,4 Clinical staging is usually denoted using Hurley classification, although there are several additional verified schemata that can be used. Although historically considered rare, the overall prevalence of HS is likely anywhere between 0.1% and 4%. [5][6][7] Pathogenesis was originally felt to center on apocrine glands and follicular occlusion, but in recent years, it has been characterized as a chronic inflammatory disorder primarily centering on hair follicles. 8,9 In addition,

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“…Drainage of an abscess by catheter offers benefit in terms of a short hospital stay, less pain and better cosmesis. 9 The rationale of this study was to evaluate whether catheter drainage is beneficial in the treatment of subcutaneous abscess when compared to incision and drainage methods in terms of shorter length of hospital stay.…”

Section: Introductionmentioning

confidence: 99%

Comparison of catheter drainage with incision drainage in children with soft tissue abscesses.

Jamil

Ali

Ayub

et al. 2022

TPMJ

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Objective: To compare the efficacy of catheter drainage with incision and drainage in children having soft tissue abscess. Study Design: Randomized Control Trial. Setting: Department of Paediatric Surgery, Allied Hospital Faisalabad. Period: January 2016 to June 2017. Material & Methods: After taking approval from the hospital ethical committee, 160 patients coming through OPD of the department who fulfilled the inclusion criteria were enrolled, and informed consent was taken from them. The patients were randomly divided into two groups using a computer-generated random number table. In group A, patients underwent catheter drainage method, and in group B, patients underwent incision and drainage method. Results: Out of 160 cases (80 in each group), 60% (n=48) in Group-A and 67.5% (n=54) in Group-B were between 1-6 years while 40% (n=32) in Group-A and 32.5% (n=26) in Group-B were 7-12 years of age. 70% (n=56) in Group-A and 67.5% (n=54) in Group-B were males. On efficacy comparison, it was shown that 73.75% (n=59) in Group-A and 47.5% (n=38) in Group-B had efficacy; the p-value was calculated as 0.0007, showing a significant difference. Conclusion: We concluded that catheter drainage is better than incision and drainage in children having soft tissue abscess in terms of length of hospital stay ˂ 24 hours.

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Incision and drainage of cutaneous abscess with or without cavity packing: a systematic review, meta-analysis, and trial sequential analysis of randomised controlled trials

Cited by 11 publications

References 32 publications

Relevant Dermatoses Among U.S. Military Service Members: An Operational Review of Management Strategies and Telemedicine Utilization

Relevant Dermatoses Among U.S. Military Service Members: An Operational Review of Management Strategies and Telemedicine Utilization

Vulvoperineal Hidradenitis Suppurativa: Diagnosis, Treatment, and Management of Deformities

Comparison of catheter drainage with incision drainage in children with soft tissue abscesses.

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