Last night I encountered a patient who presented with a pilonidal cyst abcess with surrounding cellulitis over the left gluteus. There were no complicating factors (DM, HIV etc).
Recently I came across Dr. Rob Orman's cast and elegant summary on the LOOP abscess drainage technique, which comes from a recent publication in the Journal of Pediatric Surgery. In short, the traditional technique of making a large incision and inserting packing with scheduled changes is replaced by two smaller (more cosmetic friendly) incisions and tunneling a small rubber cathether or drain tied together to make a loop. This obviates the need for painful packing changes, possible premature wound closure, and need for repeat procedure. See schematic below:
|credit: Michelle Lin, Academic Emergency Medicine|
The patient afterward was extremely pleased, smiling, and I must confess--I was too :)