Neck abscess incision and drainage

Treatment of diseases: cervical lymph node tuberculosis Indication Swelling of the head and face and infection of the throat and gums can cause suppurative neck lymphadenitis. In the case of local redness and empyema signs, timely incision drainage is required. Preoperative preparation The use of anti-infective treatment to control primary inflammation. Surgical procedure Anesthesia and position Local infiltration anesthesia. Take the supine position, the head is biased to the healthy side, so that the abscess is clearly revealed. Surgical procedure 1. The incision should be made in the middle of the abscess, the direction of the incision in the direction of the skin or along the long axis of the abscess. Cut the skin and platysma muscle layer, the length of the incision should be equivalent to the diameter of the abscess. 2. Puncture in the abscess, pus and puncture the vascular clamp along the puncture hole, enlarge the drainage port after reaching the abscess, drain the pus and extend into the inner wall of the abscess to probe the abscess. 3. Insert a rubber drainage piece into the abscess to keep the edge of the incision open. The drainage piece is properly fixed to prevent dislocation. Clamp it between the gauze to prevent the rubber sheet from sticking directly to the skin. complication Intra-incision hemorrhage is caused by blindly detecting the abscess with a sharp instrument and damaging the blood vessels. It should be operated according to the principle of puncture and then cutting.