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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.
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).
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]
Surgical drain on the left hand after surgery of Bennett's fracture basis MTC primi manus 1. sin (S62.20) which was treated by alignment of a fracture and inside fixation by two titanium screws MS. Drainage with bottle after implant removal Photograph showing a subcutaneous neck drain in the left neck wound
Pressure is thus induced while the capillary action of the improvised gauze-sac secures drainage. [citation needed] It was developed by Polish surgeon Jan Mikulicz-Radecki (1850-1905) as a means to drain the abdominal cavity after an operation. In the past, the gauze was treated with iodoform as an antiseptic. [2]
Abscess five days after incision and drainage Abscess following curettage. The abscess should be inspected to identify if foreign objects are a cause, which may require their removal. If foreign objects are not the cause, incising and draining the abscess is standard treatment. [4] [32]
This procedure is performed when intra-abdominal bleeding (hemoperitoneum), usually secondary to trauma, is suspected. [2]In a hemodynamically unstable patient with high-risk mechanism of injury, peritoneal lavage is a means of rapidly diagnosing intra-abdominal injury requiring laparotomy, but has largely been replaced in trauma care by the use of a focused assessment with sonography for ...
In case of complicated appendicitis managed by an emergency open appendectomy, abdominal drainage (a temporary tube from the abdomen to the outside to avoid abscess formation) may be inserted, but this may increase the hospital stay. [92] [needs update] The surgeon will start closing the incision.