Deroofing and Excision vs Incision and Drainage; A Comparative Study in Diabetic Carbuncle

Shaheer Sultan; Sultan Mahmood Khan; Saad Sultan; Feryal Qaisar; Touseef; Asrar Ahmad Khan

doi:10.29054/apmc/2023.1126

Shaheer Sultan Medical Officer, Department of Surgery, Allied Hospital, Faisalabad Pakistan
Sultan Mahmood Khan Associate Professor, Department of Surgery, Aziz Fatima Medical & Dental College, Faisalabad Pakistan
Saad Sultan Post Graduate Resident, Department of Orthopedics, Sheikh Zyaed Hospital, Lahore Pakistan
Feryal Qaisar Post Graduate Resident, Department of Gynecology & Obs., MNCH / Social Security Hospital, Faisalabad Pakistan
Touseef Medical Officer, THQ Hospital Chak Jhumra, Faisalabad Pakistan
Asrar Ahmad Khan Assistant Professor, Department of Surgery, Faisalabad Medical University, City Pakistan

DOI: https://doi.org/10.29054/apmc/2023.1126

Keywords: Carbuncle, De-roofing and excision, Incision and drainage, Efficacy

Abstract

Background: Carbuncle is a clump of pus-filled lumps that create a linked region of infection beneath the skin. Carbuncle treatment necessitates the use of antibiotics as soon as possible, as well as surgical surgery. Carbuncles are managed by incision and drainage, as well as deroofing and excision. Objective: To compare incision and drainage with deroofing and excision for carbuncles. Study Design: Randomized controlled study. Settings: Department of Surgery, Allied Hospital Faisalabad Pakistan. Duration: 01-07-2020 to 31-12-2020. Methods: After diagnosis, patients were divided in two groups by simple random sampling. Group A underwent I & D under GA. Group B underwent deroofing and excision under local anesthesia. All the surgeries were performed by consultant with minimum 3 year post fellowship experience. The wounds healed within two to four weeks, without major cosmetic appearance. Both the groups were compared for efficacy. All the data was entered on predesigned proforma. Results: Mean age of patients was 39±8 years. There were total 77.78% males and 22.22% females. Size of carbuncle was >5cm in 44.44% patients and <5cm in 55.56% patients. Efficacy was 77.78% in group A and 88.89% in group. Conclusion: In treating carbuncle, the De-roofing and excision is a preferable technique as compared to Incision and drainage.