Perianal Abscess
Conditions
Keywords
perianal abscess, red light phototherapy, red and blue light phototherapy, wound healing
Brief summary
This study aims to investigate whether specialized red-blue light irradiation facilitates faster postoperative recovery and reduces complication rates in patients following perianal abscess surgery. A total of 222 eligible patients were randomly allocated equally into three groups (74 per group):①Routine Care Group: Standard wound care including cleansing and dressing changes；②Red Light Therapy Group: Routine care plus red light phototherapy；③Combined Red-Blue Light Therapy Group: Routine care plus concurrent red and blue light phototherapy.Wound healing time and incidence of complications were compared to assess postoperative recovery across interventions. The primary hypothesis posits that adjunctive phototherapy-particularly combined red-blue light irradiation-will significantly enhance wound healing, reduce edema and pain, and decrease complication rates (e.g.bleeding, urinary retention) compared to routine care alone.
Interventions
DEVICERed light exposure
Patients in the red light group received red light therapy concurrently with standard care.
DEVICERed-blue light exposure
Patients in the red and blue light group received combined red and blue light therapy concurrently with standard care。
Sponsors
The Affiliated Hospital of Putian University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Aged between 18 and 75 years; * Clinical diagnosis of perianal abscess； * Procedure: Radical resection with incision and drainage.
Exclusion criteria
* Concurrent anorectal disorders (hemorrhoids, anal fissure) or malignancies/infectious diseases； * History of psychiatric disorders； * Analgesic use within 7 days preoperatively； * Coagulopathy or cardiac/hepatic dysfunction； * Pregnancy or lactation； * Contraindications to phototherapy； * IBD-related perianal abscess.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound healing time | Measurements were taken over a time frame of 24 hours postoperatively to complete epithelialisation. | Defined as 100% re-epithelialization assessed by blinded evaluator. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain intensity | Baseline, Day 1, 3, 5, 7, and Day 14±2 | Assessed at rest and during defecation.Numerical Rating Scale will be used,patients are asked to choose a whole number (integer) from 0 to 10 that best describes their pain.0 usually means no pain.10 means the worst pain imaginable. |
| Peripheral tissue edema（Grade 0-3） | Day 1, 3, 5, 7, and Day 14±2 | * Grade 0 (None): No edema. * Grade 1 (Mild): Mild edema with slight swelling around the incision; skin folds remain clearly visible. * Grade 2 (Moderate): Moderate edema with pronounced swelling around the incision; skin folds are indistinct. * Grade 3 (Severe): Severe edema with marked swelling around the incision; skin folds are obliterated. |
| Assessment of Granulation Tissue in Wound Bed | Day 1, 3, 5, 7, and Day 14±2 | * Grade 0 (Absent): No granulation tissue present. * Grade 1 (Poor): Minimal, pale, and friable granulation tissue with easy bleeding. * Grade 2 (Fair): Moderate amount of granulation tissue; pinkish-red in color but remains somewhat friable. * Grade 3 (Good): Healthy, abundant granulation tissue filling the wound bed; beefy red in color and firm to the touch, with minimal bleeding. |
| Length of hospital stay | From surgery end to discharge (up to 7 days) | Measured in hours with standardized discharge criteria. |
| Complication incidence | Within 30 days postoperatively | Measurements include the incidence of postoperative bleeding, urinary retention, etc. |
Countries
China
Contacts
Primary ContactChenxing C Jian
Outcome results
None listed