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

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.