Incision & Drainage (Abscess)

Surgery · Surgery/Emergency · 10–20 min

Surgical drainage of an abscess cavity.

Indications

  • Fluctuant abscess
  • Failed conservative therapy

Contraindications

  • Deep-space infections needing OT

Equipment

  • Scalpel #11
  • Sinus forceps
  • Culture swab
  • Gauze wick
  • Local anesthetic

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/7)

Tap to complete

1. Confirm fluctuance

USG if uncertain.

2. Local anesthesia

3. Incise

4. Break loculations

5. Culture pus

6. Irrigate

7. Pack loosely

Immediate complications

  • Bleeding
  • Incomplete drainage

Delayed complications

  • Recurrence
  • Scarring
  • Fistula

Recognition

  • Persistent redness/pain

Initial management

  • Re-drain
  • Antibiotics

Prevention

  • Adequate incision
  • Break loculations

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

WardRound

WardRound

Clinical Decisions in Seconds