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Using the
          VessiLoop
For Abscess Incision and Loop Drainage (I&LD)

          Veronica Bonales, M.D.
      CEPAmerica Emergency Physician
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.
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.
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
VessiLoop

 - Used by surgeons as a Vessel Loop
 - Sterile
 - Made of silicone
    - Latex-free
 - Two loops per package
VessiLoop
Location
Why I&LD?

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

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VessiLoop Presentation

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

Editor's Notes