Incision and drainage of purulent dactylitis

There are many radial fiber-optic cords around the phalanx in the distal end of the finger, which form many small rooms. In the occurrence of purulent finger inflammation, inflammatory edema in the small room, the pressure continues to increase, not only the compression of the nerve endings caused severe pain, more serious is that before the formation of abscess, the distal phalanx will be ischemic necrosis, causing difficult to cure Pharyngeal osteomyelitis. Therefore, drainage should be cut early. Treatment of diseases: suppurative finger inflammation, purulent finger inflammation Indication Finger inflammation has aching pain, obvious swelling, should be cut open decompression, drainage, can not wait for fluctuations. 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 Make a longitudinal incision on one side of the distal end of the finger. After cutting the skin, use a hemostatic forceps to separate into the abscess, open the small room between the fiber cables, release the pus, and place the Vaseline gauze strip or rubber sheet for drainage. If the abscess is large or obstructed, the hemostatic forceps can be inserted into the cavity and the opposite side of the finger can be used for drainage. However, the infection is limited to the gap between the palm and the finger pad. Regardless of the abscess in the proximal, middle, and distal fat pad, the longitudinal incision that does not span the transverse flexion should be used to avoid loss of sensation or necrosis at the finger end. Acoustic finger inflammation that has not been treated in time, has been complicated by chronic myelosynthesis of the phalanx of the finger, and may have dead bones, so that purulent finger inflammation will not heal for a long time. For this, a finger incision can be used to expose the phalanx and remove the dead bone; or a small bite clamp can be used to bite the osteomyelitis bone at the end. The wound is drained with a vaseline gauze strip or a rubber sheet.