The treatment of acute abscesses by incision, curettage and primary suture under antibiotic cover

Jones, Nigel; Wilson, David H.

doi:10.1002/bjs.1800630626

Cited by 34 publications

(10 citation statements)

References 9 publications

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“…If the cavity could then be closed off completely by suturing, it was felt that further infection was unlikely to occur. This method has since been recommended by Benson and Goodman (1970) for puerperal breast abscesses, by Wilson (1964), Bennett (1967 and Goligher et al (1967) for ischiorectal abscesses, by Page (1974) for axillary abscesses and by Jones and Wilson (1976) for all superficial abscesses. It was the purpose of this study to compare the standard method of free drainage with primary suture as treatments for acute superficial abscesses and to assess the value of antibiotics as an adjunct to surgery.…”

Section: Patients Were Randomly Allocated To One Of Four Treatment Grmentioning

confidence: 99%

The treatment of acute superficial abscesses: A prospective clinical trial

MacFie

Harvey

1977

British Journal of Surgery

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A total of 219 acute superficial abscesses was treated. Patients were randomly allocated to one of four treatment groups--primary suture with or without antibiotics and free drainage with or without antibiotics. No difference could be detected between the groups in duration of healing time. Eleven per cent of all abscesses sutured recurred and antibiotics did not affect this rate. It is suggested that free drainage following incision and drainage is the safest treatment for the majority of abscesses. Antibiotics do not have any significant effect on healing time or recurrence and their routine use is not recommended.

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Section: Patients Were Randomly Allocated To One Of Four Treatment Grmentioning

confidence: 99%

The treatment of acute superficial abscesses: A prospective clinical trial

MacFie

Harvey

1977

British Journal of Surgery

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“…for 4 days. This rkgime has been used successfully for some years in this department (Jones and Wilson, 1976), without side-effects and, in particular, no evidence of the pseudomembranous colitis which has been reported elsewhere as a complication of this drug (Pittman and Humphrey, 1974).…”

Section: Discussionmentioning

confidence: 95%

Superficial sepsis: The antibiotic of choice for blind treatment

Page

Freeman

1977

British Journal of Surgery

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When all cases of superficial sepsis were considered together Staphylococcus aureus was the most frequently encountered organism. Various anatomical sites were considered separately and it was found that the axilla and breast were particularly prone to infection by Staph. aureus. The incidence of infection by coliform bacili in Bartholin's and anorectal abscesses was significantly higher than in abscesses elsewhere. The importance of these observations in relation to antibiotic therapy is discussed.

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“…[10,11] , incision and removal of abscess cavity wall. [12] , negative suction drainage after incision and primary closure of the abscess cavity. [13] and needle aspirations followed by antibiotics instillation.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Needle Aspiration: A Prospective Study of 100 Cases

Sawai¹,

Bhuvan²,

K³

et al. 2016

jemds

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Breast abscess is defined as an acute soft tissue infection which is characterized by localized pain, swelling and redness associated with a mass that may or may not be fluctuant. [1,2] Most breast abscesses develop as a complication of lactational mastitis. OBJECTIVES OF STUDYTo assess the feasibility and effectiveness of percutaneous needle aspiration of breast abscesses as a day care procedure. METHOD AND METHODOLOGYThis prospective study was conducted in patients with breast abscess attending the surgical OPD of a tertiary centre. A total of 100 patients with breast abscess giving consent to participate in study were included in the study. Percutaneous needle aspiration of pus under local anaesthesia was done with 18/16G needle. Empirical antibiotic therapy with amoxicillin+clavulanic acid was started. Aspirated pus was sent for bacteriological study. The antibiotics were changed in accordance to sensitivity report if needed. RESULTSThe mean age of the patients was 28.11 years and youngest patient was of 17 years married female. Most of the patients were lactating female in age group of 25-30 years followed by age group of 20-25 years. Topographically, most breast abscess were located in upper outer quadrant in 38 patients followed by 32 patients having abscess in central region. The mean volume of pus on ultrasonography was 57.32 mL and mean volume of pus on aspiration was 45.75 mL. The mean number of aspiration was 2.18. All of the aspirated pus was sent for culture and sensitivity. Among these, 12 samples of pus were sterile and 88 samples showed growth of organism. CONCLUSIONWith appreciable cure rate by repeated needle aspiration, this method can be preferred as treatment of breast abscess in selected patients.

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The treatment of acute abscesses by incision, curettage and primary suture under antibiotic cover

Cited by 34 publications

References 9 publications

The treatment of acute superficial abscesses: A prospective clinical trial

The treatment of acute superficial abscesses: A prospective clinical trial

Superficial sepsis: The antibiotic of choice for blind treatment

Percutaneous Needle Aspiration: A Prospective Study of 100 Cases

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