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Trick of Trade: Incision and loop drainage using tourniquet

Posted Jan 22 2013 12:00am

The technique for abscess drainage traditionally is incision and drainage (I&D). In August 2012, I wrote about  incision and loop drainage (I&LD) , which it seems has gained popularity over time with similar outcomes.

This technique involves using a sterile vascular loop, which is thin and long enough to form a loose knotted loop. The video above by Dr. Rob Orman reviews the steps.

But, what if you don't have a vascular loop in the ED?

Trick of Trade:
Use a trimmed sterile tourniquet as the loop

Trim the tourniquet longitudinally. This strip was long and thin enough to allow us to tie a non-tensile loop through the abscess.

Tsoraides SS, Pearl RH, Stanfill AB, Wallace LJ, Vegunta RK. Incision and loop drainage: a minimally invasive technique for subcutaneous abscess management in children. J Pediatr Surg. 2010 Mar;45(3):606-9.  Pubmed  
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