Incision and Drainage of Abscess
An abscess is a collection of pus that has accumulated in a cavity as a result of an infective process. It is a part of the host defence response to prevent the spread of sepsis systemically. Abscesses tend to present with local symptoms of pain, swelling, redness and limitation of movement. Systemic symptoms, which include pyrexia, are not uncommon. The most common organisms involved are Staphylococcus aureus and Streptococcus. Surgical treatment is with incision and drainage of the sepsis, and those with weakened immune systems, e.g. patients on steroids or chemotherapy and patients with diabetes, renal failure on dialysis, or HIV develop abscesses frequently and need to have treatment instituted urgently.
Additional Procedures that May Become Necessary
- Multiple incision and drainages for recurrent abscesses.
- Debridement of necrotic tissue.
- Packing abscess cavity and changing packs under anaesthesia for large abscess cavities.