Abscess Incision and Loop Drainage presentation for CEP America EDMD's in Humboldt County

1. Using the
VessiLoop
For Abscess Incision and Loop Drainage (I&LD)
Veronica Bonales, M.D.
CEPAmerica Emergency Physician

2. Abscesses
• University of Illinois, Peoria
• One hundred fifteen patients underwent drainage procedures as
described; 01/02 - 10-07; Age, 19 days to 20.5 years; Drain duration,
10.4 days (3-24 days); 50% had methicillin-resistant Staphylococcus
aureus, 26% had methicillin-sensitive Staphylococcus aureus, and 9%
streptococcal species. 6 required re-operation - 4 with loop drains and
2 with incision and packing with complete healing.

3. Abscesses
• University of Indiana, Riley Hospital for Children
• One hundred twenty-eight patients were treated over a 14-month
period. Age 5 weeks to 18 years. Methicillin-resistant
Staphylococcus aureus was identified in 76% of the cultured
specimens. Average length of drain use was 9 days (range, 5-29
days). There were no local recurrences of subcutaneous
abscesses. There was no morbidity related to the drainage
procedures.

4. Abscesses
• Women and Children’s Hospital of Buffalo
• 18 patients, 11 under age of 2, MRSA in
55%, drains in place 7.9 days; after 60 days,
no incomplete or recurrent abscesses
noted

5. VessiLoop
- Used by surgeons as a Vessel Loop
- Sterile
- Made of silicone
- Latex-free
- Two loops per package

6. VessiLoop

7. Location

8. Why I&LD?
• Better tolerated by patients
• More patient involvement with self-care
• Better cosmesis
• More cost-effective

9. Why I&LD?

10. I&LD

11. Abscesses

12. Insert
clamp
I&LD
here

13. I&LD

14. I&LD

15. I&LD

16. I&LD

17. I&LD

18. References
• J Pediatr Surg. 2010 Jul;45(7):1562-6; Minimally invasive technique in treatment
of complex, subcutaneous abscesses in children. Ladd AP, Levy MS, Quilty J.
• J Pediatr Surg. 2010 Mar;45(3):606-9. Incision and loop drainage: a minimally
invasive technique for subcutaneous abscess management in children.
Tsoraides SS, Pearl RH, Stanfill AB, Wallace LJ, Vegunta RK.