A RANDOMIZED CONTROL CLINICAL TRIAL TO STUDY INSTILLATION OF LOCAL ANTIBIOTIC THERAPY WITH SUCTION DRAINAGE SYSTEM FOR MANAGEMENT OF BREAST ABSCESSES sejalgrover98@gmail.com

PW04-13

A RANDOMIZED CONTROL CLINICAL TRIAL TO STUDY INSTILLATION OF LOCAL ANTIBIOTIC THERAPY WITH SUCTION DRAINAGE SYSTEM FOR MANAGEMENT OF BREAST ABSCESSES

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India

Oral or Poster

Incision and drainage (I&D) along with intravenous antibiotic therapy is the standard method of management of abscesses. It is the time-tested method of abscess management, ensuring complete evacuation of the abscess cavity and preventing further spread of infection and sepsis. I&D causes significant morbidity to the patient, takes a long time to heal, causes unsightly scars, significant pain and affects routine daily functioning. In this paper, we propose a novel alternative to conventional I&D of wounds, by using local antibiotic injections and keeping a suction drain in the abscess cavity after adequate drainage of pus and underlying slough.[1]

Flow chart as uploaded in figure

There were significantly lower pain scores in patients of the case group, with early wound healing (average number of days taken for wound healing- 7 days; which was at least 3 times lesser than that of conventional I&D). There was no recurrence in all cases and controls - followed up for 2 months post-operatively.

To reduce the recovery time, Ellis, Benson and others advocated primary suturing of the incision over a drain to let out pus. Percutaneous drainage or irrigation suction have been done for routinely inaccessible abscesses, with satisfactory results. One can therefore use the same principles for skin and soft tissue abscesses, with the added advantage of quick scar free healing and better pain management. Also, at any time it is possible to convert it into an open incision and drainage system.