loop abscess

4 Jun

Looking for a fun and interesting new way to treat an abscess?
(I’ve done it once, with good success.)
You tube video – only 2 minutes long, worth watching, and worth reviewing in the ED before actually trying this:
Dr. Tsoriades and colleagues found using a vessel loop (see picture) was a safe and effective treatment for subcutaneous abscesses in children when studied in comparison with traditional incision and drainage with packing. 
Children in the study were under general anesthesia or conscious sedation. (I used a traditional field block using 2% lidocaine with epinephrine in an adult.)
Pros:
  • no repeat packing
  • better tolerated by patients
  • less wound care materials
  • much smaller incision – less scarring

Discharge instructions:
  • apply warm compresses
  • expect drainage
  • move loop back and forth 2 times daily 
  • return if worse/fever/increasing redness
Submitted by S. Morris.


Reference(s): A.P. Ladd, M.S. Levy, J. Quilty. Minimally invasive technique in treatment of complex, subcutaneous abscesses in children. J Pediatr Surg, 45 (2010), pp. 1562–1566;  S.S. Tsoraides, R.H. Pearl, A.B. Stanfill, L.J. Wallace, R.K. VeguntaIncision and loop drainage: A minimally invasive technique for subcutaneous abscess management in children J Pediatr Surg, 45 (2010), pp. 606–609; picture

Advertisements

One Response to “loop abscess”

  1. Michaela September 13, 2012 at 06:38 #

    I do not know if it’s just me or if perhaps everybody else encountering issues with your blog. It appears as if some of the text in your posts are running off the screen. Can somebody else please provide feedback and let me know if this is happening to them as well? This might be a problem with my web browser because I’ve had this
    happen previously. Cheers

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: