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Doctor insights on: Incision And Drainage Simple Skin Abscess

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How is an incision and drainage of a pilonidal cyst performed?

How is an incision and drainage of a pilonidal cyst performed?

The two common ways : Are to cut out the entire cyst along with its lining and close it up directly with stitches after thoroughly washing it out or to cut it out entirely but leave it open with packing that needs to be changed and then washed out several times letting it heal from the floor of where the cyst was or use a device known as a woundvac to force it to heal quicker with similar wound care. ...Read more

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Discharge (Definition)

Discharge can be a noun or a verb; it has multiple meanings in physics, chemistry, military, and legal usage. The most common medical meaning is a substance that is being excreted. Examples: pus is the discharge from a pimple; a vaginal discharge can mean infection; an ear discharge can mean an infection of the outer ear tract; a nasal discharge ...Read more


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Is an incision and drainage a painful procedure?

Is an incision and drainage a painful procedure?

Not So Bad: The pain from an "i and d" is dependent on the location & severity of the abscess and the method of anesthesia. A simple one just under the skin can usually be done with local anesthesia. Deeper abscesses usually require a trip to the or and the help of an anesthesiologist. Most importantly, the pain caused by the abscess will soon be gone. ...Read more

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Hi, can abscess drainage leave hard lump under the skin something like a scar tissue. Abscess was pretty big and healed by granulation 10 yrs ago?

Hi, can abscess drainage leave hard lump under the skin something like a scar tissue. Abscess was pretty big and healed by granulation 10 yrs ago?

Yes: Abscesses that were drained a long time ago can leave scar (or fibrous) tissue in the place of the abscess or in the area where it was cut open. This is a normal occurrence, as long as it does not appear infected (not red, swollen, hot or draining). ...Read more

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How to take care of open wound caused by abscess after incision under breast?

How to take care of open wound caused by abscess after incision under breast?

Sterile pressure: dressing. 1 layer of Telfa( non adherent gauze covered by 2 layer of regular gauze- cut to size and held in place by paper tape. Consult surgeon re: any antibiotic ointment on the bottom layer closest to the wound. ...Read more

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Can large under the skin pimples be drained?

Can large under the skin pimples be drained?

Pimple: Whiteheads or cysts under the skin are often treated with extraction , a technique where a dermatologist makes a tiny nick in the skin with a small needle and presses out the sebum with an instrument (comedone extractor). If a cyst is present for a long time it may be surgically removed. See a dermatologist for treatment options based on the size and type of the cyst. ...Read more

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Should the crusty areas of impetigo infected skin be removed?

Should the crusty areas of impetigo infected skin be removed?

Yes: Do not pick off, clean gently with soap and warm water, or use warm compresses to sooth area, then apply topical bacterial cream/ointment and take oral antibiotic. ...Read more

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Are surgical incisions to drain a staph infection and intravenous vancomycin considered proper treatment?

Are surgical incisions to drain a staph infection and intravenous vancomycin considered proper treatment?

Yes: It depends on the size and other symptoms, but this treatment is often standard and necessary. ...Read more

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Is low grade fever normal following incision and drainage of anorectal abscess?

Is low grade fever normal following incision and drainage of anorectal abscess?

Low grade fever: Is common after any operation that involves general anesthesia, but it really depends how high it is. If it goes above 101, contact your surgeon. You might need to be on antibiotics to control infection in the abscess area. ...Read more

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Is it normal to drain or weep the incision site after laser vein surgery?

Is it normal to drain or weep the incision site after laser vein surgery?

Yes, if immediate: It is normal to weep a small amount or watery fluid or slight blood-tinged watery fluid IMMEDIATELY after laser vein surgery (within the first couple of hours). This is the result of the tumescent anesthesia leaking through the laser puncture site in the skin or from the puncture sites made for injecting the numbing fluid (the Xylocaine (lidocaine) / Novacaine fluid used to numb the area leaking out). ...Read more

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Painful red bump on buttock area. Now open and drained some liquid which reduced swelling. Could this be an ingrown hair or a pimple?

Painful red bump on buttock area. Now open and drained some liquid which reduced swelling. Could this be an ingrown hair or a pimple?

Infection: You should definitely see your doctor. This could be an abscess (infection) and may need antibiotics and or surgery. If it is in the center top of the buttocks area it could be a pilonidal cyst which could be infected . ...Read more

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How long should packing for drainage of sergical incision be left in wound?

Depends: It really depends on what the wound looks like the following 24 hours with respect to the quality and quantity of the drainage. Also the physician takes into account the type of material that is packed in the incision. Certain packing can remain in the wound up to seven days while others need to be removed within the first 24 to 48 hours. ...Read more

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Is it necessary to change the packing of a wound left by the draining of a perianal abscess everyday,since its so painful?My wound is 1.5 inches deep.

Is it necessary to change the packing of a wound left by the draining of a perianal abscess everyday,since its so painful?My wound is 1.5 inches deep.

Yes!: The point of draing and packing space and then removing the packing and repacking is to prevent an &&andinfection from setting in there. It is not the cleanest part of your body and it will take a while to fully heal. The incision and drainage (I & D) is more important to your cure than whatever antibiotics that you may be taking. As the packing is removed a probe should be inserted & moved aroun ...Read more

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2 mo. post op pilonidal cyst. Wound has not fully healed. There is yellow fluid inside wound, redness around site, and burning pain. Infection? Rash?

2 mo. post op pilonidal cyst. Wound has not fully healed. There is yellow fluid inside wound, redness around site, and burning pain. Infection? Rash?

Possibly: Only a visual inspection with cultures will reveal the true nature of what's going on but my money would be on an infectious entity with what you're saying. Get an appointment back with the doctor who did the surgery and see how he/she wants to approach things. ...Read more

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Can internal surgical staples cause a recurring skin rash near the incision?Area?

Can internal surgical staples cause a recurring skin rash near the incision?Area?

Post-operative rash : Yes, this can happen. Right after surgery, there can be itching as tissues initially heal. When metal is to be left in the body, some doctors have the patient get patch tested for contact sensitivity to metals. Nickel is the commonest metal hypersensitivity, affecting 10% of people. Many metals used are alloys containing it. A dermatologist or allergist can patch test for metal sensitivity. ...Read more

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An abscess develops after a femoral artery embolectomy. Incision and drainage is done. How long should it drain before debridement?

An abscess develops after a femoral artery embolectomy. Incision and drainage is done. How long should it drain before debridement?

Already occurring: If a drainage procedure was done the wound should have been left partially open. The dressing changes will do the debridement. Make sure to change daily. Follow-up with surgeon who did drainage procedure. ...Read more

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A large thigh abscess develops at the surgical site after a femoral artery embolectomy, is incision and drainage the only treatment required?

A large thigh abscess develops at the surgical site after a femoral artery embolectomy, is incision and drainage the only treatment required?

Yes: An abscess, or collection of infected fluid should absolutely be drained. If left undrained, it could compromise healing if the opening in the artery, and the suture line could blow out leading to a high risk of death. Call your surgeon immediately! an infection of the skin without and abscess is best treated with antibiotics. ...Read more

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Wound from mole excision is infected. Given Keflex. Best to let wound dry out or keep covered with an antibiotic ointment?

Wound from mole excision is infected. Given Keflex.  Best to let wound dry out or keep covered with an antibiotic ointment?

Either OK: Go with what your health care provider says. They have been most closely associated with your condition. ...Read more

Dr. Babak Jouhari
63 doctors shared insights

Incision And Drainage (Definition)

A skin abscess is a collection of pus and infected material in or on the skin. The doctor may cut open and drain the abscess, after placing some numbing medicine in the area. Packing material may be left in wound to help it heal and ...Read more


Incision (Definition)

An incision is an opening made in the skin or mucosal surface. It is usually performed to allow entry into a body cavity in order to ...Read more