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
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.
