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Randomised trial comparing needle drainage of perianal abscess under local anaesthetic to conventional treatment by incision and drainage under general anaesthetic
ISRCTN ISRCTN31631159
ClinicalTrials.gov identifier
Public title Randomised trial comparing needle drainage of perianal abscess under local anaesthetic to conventional treatment by incision and drainage under general anaesthetic
Scientific title
Acronym N/A
Serial number at source N0594142233
Study hypothesis Can perianal sepsis be treated on an outpatient basis by needle drainage and antibiotics?
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Signs and Symptoms: Perianal sepsis
Participants - inclusion criteria Patients with fluctuant perianal sepsis are recruited on presentation to Accident and Emergency. After the trial is explained, the information leaflet given and consent taken the patients are randomised 2:1 to needle drainage or incision and drainage under general anaesthesia.
Participants - exclusion criteria 1. Diabetic patients
2. Patients under 16
3. Pregnant patients
4. Patients who are immunosuppressed
5. Patients with an obvious perianal fistula
6. Patients in whom other pathology is suspected (e.g. anal cancer)
Anticipated start date 24/02/2004
Anticipated end date 31/05/2006
Status of trial Completed
Patient information material
Target number of participants Ongoing until 100 patients are accrued - 30 patients have currently been recruited as of August 2005.
Interventions Needle drainage or incision and drainage under general anaesthesia.
Primary outcome measure(s) 1. Failure of aspiration: the number of patients in this group requiring I&D subsequent to aspirations
2. Number of aspirations required
Number of patients requiring EUA for fistula
Patient acceptability
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Luton and Dunstable NHS Trust (UK)
Trial website
Publications
Contact name Miss  Katherine  Brown
  Address Consultant Colorectal Surgeon
Luton & Dunstable Hospital NHS Trust
Lewsey Road
  City/town Luton
  Zip/Postcode LU4 0DZ
  Country United Kingdom
Sponsor Record Provided by the NHSTCT Register - 2005 Update - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44 (0)20 7307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 30/09/2005
Last edited 10/06/2009
Date ISRCTN assigned 30/09/2005
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