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Pilot study to assess the role of minimal access surgery in the management of superficial surgical infections

Authors:

Yashwant Singh Rathore ,

All India Institute of Medical Sciences, IN
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Ritesh Goel,

All India Institute of Medical Sciences, IN
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Sunil Chumber,

All India Institute of Medical Sciences, IN
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Vitish Singla,

All India Institute of Medical Sciences, IN
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Moin Baig

All India Institute of Medical Sciences, IN
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Abstract

Introduction
The standard treatment for an abscess since time immemorial
has been Incision and Drainage [I&D] without primary
closure at most sites. Post-I&D, pain and ugly scar are the
most common complaints in these patients. In this study, we
have evaluated the role of minimal access surgery [MAS] in
the management of superficial surgical infections.


Materials and methods
This was a prospective study, comparing the clinical and
cosmetic outcomes of patients undergoing conventional I&D
of superficial abscesses and those undergoing MAS [ 5mm
incision for a port of 5mm diameter] drainage.


Results
A total of 50 patients were recruited, out of which 2 patients
had a spontaneous rupture. 25 patients underwent I&D and 23
underwent MAS drainage. The mean age was 35.8 ±13.5
years, mean size of the abscess was 6 ± 1.9 cm. Baseline
characteristics like age, sex distribution, duration of
symptoms, size of the abscess and volume of the pus drained
were comparable between the two groups. Resolution of pain
and redness was achieved earlier in MAS drainage compared
to conventional I&D. Resolution of induration was
statistically insignificant. Duration of the need for dressing
and duration of return to daily activity was less with MAS
drainage. Scar size was significantly less in the MAS drainage
group. Staphylococcus aureus was the most common
organism isolated, and both groups had comparable rates of
complications and recurrences.


Conclusion
Our study has shown that MAS drainage offers earlier
recovery along with better cosmetic outcomes.

How to Cite: Rathore YS, Goel R, Chumber S, Singla V, Baig M. Pilot study to assess the role of minimal access surgery in the management of superficial surgical infections. Sri Lanka Journal of Surgery. 2021;39(3):28–32.
Published on 30 Nov 2021.
Peer Reviewed

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