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The purpose of a drain is to prevent fluid (blood or other) build-up in a closed ("dead") space, [2] which may cause either disruption of the wound and the healing process or become an infected abscess, with either scenario possibly requiring a formal drainage/repair procedure (and possibly another trip to the operating room).
Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess, boil, or infected paranasal sinus.
Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
Depending on the amount of drainage, a patient may have the drain in place one day to weeks. Drains will have protective dressings that will need to be changed daily/as needed. The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity.
If the abscess does not heal only with incision and drainage, or if the abscess is in a place that is difficult to drain such as the face, hands, or genitals, then antibiotics may be indicated. [ 1 ] In those cases of abscess which do require antibiotic treatment, Staphylococcus aureus bacteria is a common cause and an anti-staphylococcus ...
drainage of urine from the kidney by percutaneous (through the skin) nephrostomy; drainage of fluid collections, e.g. an abdominal abscess; pigtail catheter: used to drain air from around the lung (pneumothorax) administration of intravenous fluids, medication or parenteral nutrition with a peripheral venous catheter or central venous catheter
A seroma is usually caused by surgery. Seromas are particularly common after breast surgery [3] (e.g., mastectomy), [4] abdominal surgery, and reconstructive surgery. It can also be seen after neck surgery, [1] thyroid and parathyroid surgery, [5] and hernia repair. [2] The larger the surgical intervention, the more likely that seromas form.
This may mimic acute appendicitis or form a pelvic abscess. The left paracolic gutter is larger than the right, which together with the partial barrier provided by the phrenicocolic ligament (also known as Hensing's ligament), may explain why left subphrenic collections are more common than right subphrenic collections.