subungual empyema

Paronychia is often caused by stab wounds, abrasions, ingrowns, or pulls of "pricked thorns" in the sulcus and its adjacent tissues, causing sub-abscesses, often caused by the spread of paronychia or a stab wound. Injury and secondary infection of the lower hematoma, the main pathogen is Staphylococcus aureus, has invaded under the armor to form a sub-abscess, infects with invasive armor, should be under the armpits to remove nails drainage. Treatment of diseases: paronychia Indication Paronychia has been invaded under the armor to form a sub-abscess, and those with ingrown toxins should be removed. Contraindications 1. The blood coagulation mechanism has serious obstacles. 2. Hypertension, diabetes, and some bleeding-prone diseases. Preoperative preparation 1. Rational use of antibiotics according to the condition. 2. For severe hand infections, the general condition is weak, should pay attention to improve the general condition and improve the body's resistance. 3. When the hand is deep and abscess is cut, it is advisable to use a tourniquet to control hemostasis, so that the surgical field is clear and the operation is safe. Surgical procedure The operator used the left thumb and index finger to pinch both sides of the diseased end to control bleeding. Make a longitudinal incision on each side of the nail, separate the nail epithelium with a sharp-edged knife, and separate the nail from the nail bed from the nail tip. When the nail is completely free, the side holding the nail with a hemostat is rolled to the other side to disengage the nail from the nail bed. After checking for no nail residue, it can be covered with Vaseline gauze. complication Incision infection: prevent infection with effective antibiotics after surgery.