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The aim of this study is to compare the effect of packing and non-packing on the healing rate of perianal abscess cavities. Secondary objectives are to assess quality of life, cost effectiveness and rate of abscess recurrence and fistula-in-ano formation. If there is no difference in time to healing and non-packing is shown to be safe, acceptable to the patient and cost effective, this approach may become more widely accepted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-packing of abscess cavity | Experimental |
| |
| Packing of abscess cavity | Other | Current practice |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Packing of abscess cavity | Other |
| ||
| External dressing |
| Measure | Description | Time Frame |
|---|---|---|
| Time to wound healing in days, defined as complete epithelialisation of the abscess cavity. | time to healing will be assessed in days | 1 day to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life scores as determined by the Euro QoL EQ-5D-3L | Quality of life scores as determined by the Euro QoL EQ-5D-3L will be measured at 10-14 days following incision and drainage of abscess | 10 to 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Abscess recurrence rate | 0 days to 12 months | |
| Fistula-in-ano formation rate | 0 days to 18 months | |
| Cost |
Inclusion Criteria:
Exclusion Criteria:
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| Other |
Application of external dressing whilst abscess cavity heals |
|
| 0 days to 18 months |