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Incision and Drainage of Abscess/Hidradenitis


 

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Definition

An abscess is an inflamed and infected pocket of pus in the skin. It is often called a boil. Incision (cut) and drainage is a procedure to drain pus from an abscess.

 

Reasons for Procedure

Drainage of an abscess is the preferred treatment to clear an abscess. It is often used if the abscess is large, growing, painful, or not improving on its own.

Do not pop or cut an abscess yourself. This can spread infection and make it worse.

 

Description of Procedure

The area will be wiped with a special cleansing fluid. Anesthesia will be applied. A small incision will be made. A syringe or catheter may be used to drain the pus from the abscess or the pus may be squeezed out. Gauze may be used to soak up the fluid. A clean water mixture will be used to flush the area.A tool may be used to explore inside the cut. It can also help break down the abscess. A sample of the bacteria may be taken with a cotton swab for testing. Sometimes, the doctor will decide to pack the wound with clean gauze. This will help make sure the abscess does not form again. If this happens, you will come back in a day or two to remove or replace the packing. Gauze and dressing tape will be used to cover the wound.

 

Hidradenitis Suppurativa

Hidradenitis suppurativa (hi-drad-uh-NIE-tis sup-yoo-ruh-TIE-vuh) is a chronic skin condition that features pea-sized to marble-sized lumps under the skin. Also known as acne inversa, these deep-seated lumps typically develop where skin rubs together — such as the armpits, groin, between the buttocks and under the breasts.

The lumps associated with hidradenitis suppurativa are usually painful and may break open and drain foul-smelling pus. In many cases, tunnels connecting the lumps will form under the skin.

Hidradenitis suppurativa tends to start after puberty, persist for years and worsen over time. Early diagnosis and treatment of hidradenitis suppurativa can help manage the symptoms and prevent new lesions from developing.

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