Incision and drainage

Incision and drainage

Incision and drainage and clinical lancing are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess or boil. It is performed by treating the area with an antiseptic, such as iodine based solution, and then making a small incision to puncture the skin using a sterile instrument such as a sharp needle, a pointed scalpel or a . This allows the pus fluid to escape by draining out through the incision.

Good medical practice for large abdominal abscesses requires insertion of a drainage tube, preceded by insertion of a PICC line to enable readiness of treatment for possible septic shock.

Adjunct antibiotics

Uncomplicated cutaneous abscesses do not need antibiotics after successful drainage.cite journal |author=Macfie J, Harvey J |title=The treatment of acute superficial abscesses: a prospective clinical trial |journal=The British journal of surgery |volume=64 |issue=4 |pages=264–6 |year=1977 |pmid=322789 |doi=] cite journal |author=Llera JL, Levy RC |title=Treatment of cutaneous abscess: a double-blind clinical study |journal=Annals of emergency medicine |volume=14 |issue=1 |pages=15–9 |year=1985 |pmid=3880635 |doi=] cite journal |author=Lee MC, Rios AM, Aten MF, "et al" |title=Management and outcome of children with skin and soft tissue abscesses caused by community-acquired methicillin-resistant Staphylococcus aureus |journal=Pediatr. Infect. Dis. J. |volume=23 |issue=2 |pages=123–7 |year=2004 |pmid=14872177 |doi=10.1097/01.inf.0000109288.06912.21]

ee also

*Drain (surgery)

References


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