From Surf Wiki (app.surf) — the open knowledge base

Incision and drainage

Minor surgical procedure to release pus or pressure under skin

Field	Value
name	Incision and drainage
synonym	Clinical lancing
image	Hand_with_drain_after_surgery_(2).jpg
caption	Hand with sutures and surgical drain
alt	Hand with sutures and surgical drain
specialty

Name = Drainage (medical) | Image = | Caption = | ICD10 = 0?9 | ICD9 = | MeshID = D004322 | OPS301 = | OtherCodes = | HCPCSlevel2 = Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus. 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 or a pointed scalpel. This allows the pus 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 peripherally inserted central catheter line to enable readiness of treatment for possible septic shock.

Adjunct antibiotics

Uncomplicated cutaneous abscesses do not need antibiotics after successful drainage.

In incisional abscesses

For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing. The dressing should be changed and the wound irrigated with normal saline at least twice each day. In addition, it is recommended to administer an antibiotic active against staphylococci and streptococci, preferably vancomycin when there is a risk of methicillin-resistant Staphylococcus aureus. The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches, staples or sutures.

References

(1977). "The treatment of acute superficial abscesses: a prospective clinical trial". The British Journal of Surgery.
(1985). "Treatment of cutaneous abscess: a double-blind clinical study". Annals of Emergency Medicine.
(2004). "Management and outcome of children with skin and soft tissue abscesses caused by community-acquired methicillin-resistant Staphylococcus aureus". Pediatr. Infect. Dis. J..
(2009). "Diagnosis and Management of Postoperative Infection". The Global Library of Women's Medicine.

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

surgical-procedures-and-techniques

Want to explore this topic further?

Ask Mako anything about Incision and drainage — get instant answers, deeper analysis, and related topics.

Research with Mako

Free with your Surf account

Content sourced from Wikipedia, available under CC BY-SA 4.0.

This content may have been generated or modified by AI. CloudSurf Software LLC is not responsible for the accuracy, completeness, or reliability of AI-generated content. Always verify important information from primary sources.

Report