Incision and Drainage of a Skin Abscess
(Skin Abscess, Incision and Drainage)
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.
Incision and Drainage
Reasons for Procedure
Drainage of an abscess is the preferred treatment to clear an abscess. It is often used if abscesses are large, growing, infected, painful, or not resolving on their own.
Do not pop or lance an abscess yourself. This can spread infection and make it worse.
What to Expect
Prior to Procedure
- Your doctor will examine the abscess.
- An ultrasound or other imaging technique may be done if the abscess is large or deep. Blood tests may also be used to find out how severe the infection is.
- Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Your doctor will make sure your ]]>tetanus immunizations]]> are current.
A local anesthesia will be applied to your skin. This will make the area numb.
Description of Procedure
Most of the time, this procedure can be done in your doctor’s office. Larger, deep abscesses, or abscesses in very sensitive areas (eg, near the anus), may require treatment in the hospital.
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 solution will be used to flush the area.
A tool may be used to explore inside the cut. It can also further 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 to 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.
How Long Will It Take?
Will It Hurt?
No, the procedure should not hurt. You may feel a slight pinch and burning when the local anesthetic is injected.
When you return home after the procedure, take the following steps to help ensure a smooth recovery:
- Take all medicine as directed. If you are taking an antibiotic, take it at the same time(s) each day. Finish the entire course.
Change your bandages 1-3 times a day as directed. Replace them with sterile bandages that your doctor gives you.
- Cleanse the incision site with lukewarm water and a mild antibacterial soap.
- Use a soft wash cloth to gently wipe the incision area dry.
- You may need to limit movement of the affected area to give it time to heal.
- Follow up with your doctor as directed.
The skin should heal completely in about 14 days.
of Family Physicians
Canadian Association of Wound Care
The Canadian Society of Plastic Surgeons
Canadian Task Force on Preventive Health
Calvagna M. Boils. EBSCO Health Library website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=15&topicID=81. Updated November 17, 2008. Accessed May 21, 2009.
Fitch M, Manthey D, McGinnis H, et al. Abscess incision and drainage. The New England Journal of Medicine (Videos in Clinical Medicine). 2007. 357;19. PDF Available at: https://secure.muhealth.org/~ed/students/articles/NEJM_357_pe0020.pdf. Accessed May 21, 2009.
NHS Clinical Knowledge Summaries. Abscess treatment. NHS Clinical Knowledge Summaries website. Available at: http://www.cks.nhs.uk/patient_information_leaflet/abscess/treatment. Accessed May 21, 2009.
Prevention of surgical site infections: Prevention and Control of Healthcare Associated Infections in Massachusetts. AHRQ National Guideline Clearinghouse website. Available at: http://www.guideline.gov/summary/summary.aspx?doc_id=12921&nbr=6635&ss=6&xl=999. Accessed May 21, 2009.
University at Buffalo (The State University of New York). Abscess incision and drainage. University at Buffalo (The State University of New York) website. Available at: http://apps.med.buffalo.edu/procedures/abscess.asp?p=1. Accessed May 21, 2009.
Last reviewed October 2009 by ]]>Ross Zeltser, MD, FAAD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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