abscess incision and drainage

Treatment of diseases: liver abscess Indication 1. The abscess is large, the local skin is red and swollen, and there are signs of ulceration. 2. The symptoms of poisoning are obvious, and those who have no surgical conditions for the time being, such as high fever. Contraindications Coma or self-control ability. Preoperative preparation 1. Before the operation, you should carefully ask the medical history and physical examination, and make a puncture to confirm the diagnosis and differential diagnosis. 2. Rational use of antibiotics. 3. Pay attention to supportive therapies such as blood transfusion, infusion, correction of anemia and imbalance of water and electrolyte balance. Surgical procedure Superficial abscess (1) Local anesthesia with 2% procaine (procaine should be skin test). (2) Pierce the central skin of the abscess with a sharp knife and extend the incision to both ends. The incision should be as small as possible. (3) After cutting the abscess, use your fingers to reach into it. If there is a space between the tissues, you can gently separate them into a single cavity and place one of the silicone tubes as a drainage to facilitate drainage. 2. Deep abscess (1) Select appropriate effective anesthesia. (2) Incision of the skin and subcutaneous tissue, where the abscess is prominent and the muscles are weak, and the muscle layer is bluntly separated by a hemostatic forceps to reach the abscess. (3) Insert a drainage tube with a side hole. (4) If there is a lot of bleeding in the cavity after the abscess is cut, the entire abscess can be filled with hot saline gauze to suppress hemostasis, and the drainage tube can be placed after hemostasis. (5) Postoperative surgical records, indicating the drainage. complication peritonitis.