Minimally invasive incision and drainage technique in the treatment of simple subcutaneous abscess in adults

Hai V. Salfity, Nakul Valsangkar, Melissa Schultz, Joseph Salfity, Katie Stanton-Maxey, Ben Zarzaur, David V. Feliciano, Michelle R. Laughlin

Research output: Contribution to journalArticle

Abstract

A minimally invasive (MI) approach using small incisions and vessel loops for drainage of simple perianal abscesses has been described in the pediatric population with decreased postoperative pain and comparable results to the traditional incision and drainage (I&D). The hypothesis was MI I&D will yield similar outcomes in adults. Patients who underwent I&D of perianal abscesses at an urban hospital from January 2008 to December 2015 were identified by Current Procedural Terminology code. Patients below 18 years of age, with inflammatory bowel diseases, or fistulae were excluded. Recurrences, readmissions, operative time, length of stay, complications, and costs were compared. There were 47 traditional and 96 MI I&D with no significant differences in demographics, average body mass index, and abscess size. No significant differences were noted in recurrences, readmissions, length of stay, operative time, or costs (P > 0.05). Postoperative complications occurred more frequently in the traditional group (P < 0.01) with a lower rate of followup (P < 0.05). MI I&D for simple anal abscesses in adults is associated with better compliance and fewer complications than the traditional approach. Although further studies are needed to determine if MI I&D confers superiority, this approach should be considered as first-line treatment for uncomplicated perirectal abscesses in adults.

Original languageEnglish (US)
Pages (from-to)699-703
Number of pages5
JournalAmerican Surgeon
Volume83
Issue number7
StatePublished - Jul 1 2017

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Abscess
Drainage
Operative Time
Length of Stay
Current Procedural Terminology
Therapeutics
Costs and Cost Analysis
Recurrence
Urban Hospitals
Postoperative Pain
Inflammatory Bowel Diseases
Compliance
Fistula
Body Mass Index
Demography
Pediatrics
Population

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Salfity, H. V., Valsangkar, N., Schultz, M., Salfity, J., Stanton-Maxey, K., Zarzaur, B., ... Laughlin, M. R. (2017). Minimally invasive incision and drainage technique in the treatment of simple subcutaneous abscess in adults. American Surgeon, 83(7), 699-703.

Minimally invasive incision and drainage technique in the treatment of simple subcutaneous abscess in adults. / Salfity, Hai V.; Valsangkar, Nakul; Schultz, Melissa; Salfity, Joseph; Stanton-Maxey, Katie; Zarzaur, Ben; Feliciano, David V.; Laughlin, Michelle R.

In: American Surgeon, Vol. 83, No. 7, 01.07.2017, p. 699-703.

Research output: Contribution to journalArticle

Salfity, HV, Valsangkar, N, Schultz, M, Salfity, J, Stanton-Maxey, K, Zarzaur, B, Feliciano, DV & Laughlin, MR 2017, 'Minimally invasive incision and drainage technique in the treatment of simple subcutaneous abscess in adults', American Surgeon, vol. 83, no. 7, pp. 699-703.
Salfity HV, Valsangkar N, Schultz M, Salfity J, Stanton-Maxey K, Zarzaur B et al. Minimally invasive incision and drainage technique in the treatment of simple subcutaneous abscess in adults. American Surgeon. 2017 Jul 1;83(7):699-703.
Salfity, Hai V. ; Valsangkar, Nakul ; Schultz, Melissa ; Salfity, Joseph ; Stanton-Maxey, Katie ; Zarzaur, Ben ; Feliciano, David V. ; Laughlin, Michelle R. / Minimally invasive incision and drainage technique in the treatment of simple subcutaneous abscess in adults. In: American Surgeon. 2017 ; Vol. 83, No. 7. pp. 699-703.
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