What Is Incision and Drainage?

The lesions of the iliac crest have a large range and poor drainage. When it is not controlled by various non-surgical treatments, incision and drainage should be performed while applying antibiotics throughout the body (except for the face and lips).

Incision drainage

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The lesions of the iliac crest have a large range and poor drainage. When it is not controlled by various non-surgical treatments, incision and drainage should be performed while applying antibiotics throughout the body (except for the face and lips).

Chinese name

Incision drainage

Tips

Antibiotics should be applied throughout the body

Preoperative preparation

Complications should be treated before surgery

Precautions

The operation of incision and drainage should be very gentle

1. Complications (such as diabetes, tuberculosis, etc.) should be treated before surgery.

2. Reasonable application of antibiotics to prevent the spread of inflammation.

3. For critically ill patients or those with septicemia, systemic resistance (such as infusion, blood transfusion, etc.) should be actively improved.

1. General anesthesia with ketamine or thiopental sodium.

2. Local infiltration anesthesia.

1. The incision is made in a shape of + or ++ in the swelling of the diaphragm. The depth must reach the base of the diaphragm (deep fascia) and the length must reach the healthy tissue at the edge of the lesion.

2. Flip open the skin and open the flap to remove all the rotten and necrotic tissue under the skin to the deep fascia; if the deep fascia has been spread, it should also be cut 2.

3. Wash the wound. After washing the wound with hydrogen peroxide, use a gauze strip soaked in antibiotic (such as penicillin) solution or 50% magnesium sulfate solution to stop bleeding, and then bandage.

1. The operation of incision and drainage should be very gentle, do not squeeze hard to avoid the spread of inflammation. Catheter incision and drainage in the posterior neck should be paid more attention to prevent inflammation from spreading along the occipital vein to the intracranial cavernous sinus, causing cavernous sinusitis.

2. When making a + -shaped or ++-shaped incision, the inflammatory infiltrated part should be completely cut to prevent the inflammation from continuing to expand and the infiltrated part to become necrotic.

3. Large bleeding points can be ligated with thin lines. For bleeding, gauze can be used to compress the hemostasis, so as to avoid too many ligatures, the formation of foreign bodies, aggravation of inflammation, and affecting wound healing.

1. After 2 to 3 days after operation, remove the gauze strips stuffed in the wound, wash the wound with hydrogen peroxide or 1: 1000 Xinjieer disinfectant solution, and use Vaseline gauze strips for drainage and bandaging.

2. Observe the wounds and wait for the growth of healthy granulation tissue, then use glue to close the skin on both sides to shrink the wounds and accelerate wound healing. If the wound is large, a skin graft can be made after the wound is cleaned.

3. Apply antibiotics throughout the body and pay attention to strengthening nutrition.