Introduction: There is wide variation in the management of simple subcutaneous abscesses in the UK and no national guidelines describing best practice. During the SARS-CoV-2 pandemic, regional or local anaesthesia (LA) use was recommended instead of general anaesthesia. This study aimed to assess the effect of anaesthetic use on outcomes following incision and drainage (I&D) of simple subcutaneous abscesses.
Methods: Two cohorts of patients undergoing abscess incision and drainage at St. James' University Hospital in Leeds were identified retrospectively over a 14-week period before (P1) and after (P2) the introduction of the COVID-19 anaesthetic guidelines. The number of follow-up appointments for repacking and representation to healthcare services 30 days after I&D were used as surrogate endpoints for wound healing.
Results: A total of 133 patients were included (=70, P1 and =63, P2). Significantly more procedures were performed under LA after the intervention (84.1% vs 5.7%; <0.0001) with a significant reduction in wound packing (68.3% vs 87.1%; =0.00473). Follow-up analysis found no significant difference in the median number of follow-up appointments (7.46 vs 5.11; =0.0731) and the number of patients who required ongoing treatment after 30 days (=14, P1 vs =14, P2; =0.921).
Conclusions: Drainage of simple subcutaneous abscess under 5cm in diameter is safe under LA, with no significant difference in surrogate endpoints of wound healing observed in this patient cohort. Recurrent packing may not be required. Future work should explore patient-reported outcomes, including pain management, cosmesis and the cost and sustainability implications of a change in this common procedure.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9974350 | PMC |
| http://dx.doi.org/10.1308/rcsann.2021.0362 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Antimicrobial Silicon Rubber Crosslinked with Bornyl-Siloxane.
Macromol Rapid Commun
January 2025
State Key Laboratory of Organic-Inorganic Composites, Beijing Laboratory of Biomedical Materials, College of Life Science and Technology, Beijing University of Chemical Technology, Beijing, 100029, P. R. China.
Silicone rubber (SiR) has a wide range of medical applications, but it lacks antimicrobial properties, leading to potential infection issues with related implants or medical devices. Most studies focus on adding anti-bacterial agents or surface modification, which usually result in composites with anti-bacterial properties, rather than synthesizing SiR with intrinsically antimicrobial performances. To tackle this issue, a double substituted bornyl-siloxane crosslinker (BC) is designed.
View Article and Find Full Text PDFReducing Dietary Protein Levels with Amino Acid Supplementation in Duroc Sire Line Finishing Pigs: Growth Performances, Carcass and Meat Traits and Nitrogen Balance in Males and Females.
Animals (Basel)
December 2024
Departamento de Producción Animal y Ciencia de los Alimentos, Escuela Politécnica Superior, Universidad de Zaragoza, Carretera de Cuarte s/n, 22071 Huesca, Spain.
Crude protein (CP) reduction and amino acid (AAs) supplementation is an interesting cost-reducing strategy for environmental compliance. The objective of this work is to study productive performances of heavy Duroc X (Landrace X Large white) male and female pigs during the finishing stage under a 2% CP reduction with crystalline AA supplementation. A total of 60 entire male and 60 female pigs (means ± standard deviations: 109 ± 4.
View Article and Find Full Text PDF'Findings of Magnetic Resonance Imaging in Knee with Post-Reconstruction Infection of the ACL: A Descriptive and Reliability Study' as per instructions.
J ISAKOS
January 2025
Hospital for Special Surgery, 535 E 70(th) St, New York, NY 10021. Electronic address:
Objectives: Septic arthritis after anterior cruciate ligament (ACL) reconstruction is a rare but potentially devastating complication. The imaging findings associated with such infections are not well-described or quantified. The purpose of this study was to describe and quantify the frequency of the characteristic MRI findings of infection following ACL reconstruction.
View Article and Find Full Text PDFControlling vaccine kinetics using tannic acid for enhanced humoral immunity.
J Control Release
January 2025
John A Paulson School of Engineering & Applied Sciences, Allston, MA 02134, USA; Wyss Institute of Biologically Inspired Engineering, Boston, MA 02215, USA. Electronic address:
Despite the success of global vaccination campaigns, vaccine access in low-resource settings is an ongoing challenge. Subunit vaccines are a well-established and clinically scalable intervention, yet they have achieved limited success for poorly immunogenic antigens such as those associated with SARS-CoV-2. Delivery strategies that promote gradual release of subunit vaccines from the injection site offer the potential to improve humoral immunity by enhancing lymph node exposure, however, clinical implementation of this strategy is challenging due to poor scalability and high costs.
View Article and Find Full Text PDFSurgical Reconstruction of the Congenital Absent Earlobe.
J Craniofac Surg
October 2024
Plastic and Reconstructive Surgery, PEMEX South Central High Specialty Hospital, Mexico City, Mexico.
Introduction: A simple technique for earlobe reconstruction in a single stage, with satisfactory esthetic results and minimal morbidity.
Cases: Two patients with congenital absent earlobe are presented. In both cases, a bilobed flap comprising skin, subcutaneous tissue, and fat was used to reconstruct the lower border of the earlobe.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!