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For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing. The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4]
The Word catheter is a type of balloon that is placed in the Bartholin gland cyst after incision and drainage to allow continued drainage and re-epithelialization of a tract for future drainage. The stem of the Word catheter is latex. [1] It is named for Samuel Buford Word. [2]
The catheter stays in place for 2 to 4 weeks so the fluid can drain and allows a normal gland opening to form (after which the catheter is removed). [14] The catheters do not generally impede normal activity, but sexual intercourse is generally abstained from while the catheter is in place. [15]
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).
The final structure of the abscess is an abscess wall, or capsule, that is formed by the adjacent healthy cells in an attempt to keep the pus from infecting neighboring structures. However, such encapsulation tends to prevent immune cells from attacking bacteria in the pus, or from reaching the causative organism or foreign object.
External drains go from inside the body to outside the body and can be seen, while internal drains are completely inside the body. An example of an internal drain is a ventriculo-peritoneal shunt, which is a tube that connects ventricles of the brain to the peritoneal cavity. This helps remove extra cerebrospinal fluid from the brain.
Pancreatic abscess is a late complication of acute necrotizing pancreatitis, occurring more than 4 weeks after the initial attack. A pancreatic abscess is a collection of pus resulting from tissue necrosis, liquefaction, and infection. It is estimated that approximately 3% of the patients with acute pancreatitis will develop an abscess. [1]
Disposable trocars Laparoscopic instruments for insertion through trocars. A trocar (or trochar) is a medical or veterinary device used in minimally invasive surgery.Trocars are typically made up of an awl (which may be metal or plastic with a pointed or tapered tip), a cannula (essentially a rigid hollow tube) and often a seal.