A retrospective study of 576 consecutive children who underwent loop drainage (cf. abscess packing) of a subcutaneous abscess indicates that micro-incisions and loop drainage is safe, effective, has shorter time to discharge, lower recurrence rates, less scarring, eliminates the need for repetitive packing and is recommended to be the standard of care for subcutaneous abscess in children.
Published on: 09/04/2017
"Loop drainage" refers to a method of managing a subcutaneous abscess where two sub-5mm incisions are made at the periphery of an abscess; the abscess cavity is probed to break down loculations and drain pus, then irrigated with normal saline, and a drain (e.g. Penrose) is then looped through one incision and brought out through the other and tied together. Finally an absorbent dressing is applied over the drain.