How is an abdominal wall abscess excision performed?
Apr 12, 2023
Source: Cainiu Health
Dr. Li Feng
Introduction
Under normal circumstances, abdominal wall abscesses commonly occur in the shoulder and back, abdomen, and soft tissues of the limbs, and are usually treated by incision and drainage. The patient is placed in a supine position with the abscess area exposed. The local area is disinfected using medical alcohol or iodophor, and sterile drapes are applied. Local anesthesia is administered via injection of lidocaine. An incision is made at the site of maximal inflammatory reaction within the abscess region.
Generally, abdominal wall abscesses commonly occur in the back, shoulders, abdomen, and soft tissues of the limbs, and are usually treated by incision and drainage. The specific procedure is as follows:
1. Position the patient in a supine position and expose the abscess site.
2. Disinfect the local area with medical alcohol or iodophor, then drape with sterile towels.
3. Administer local anesthesia using lidocaine injection.
4. Make an incision at the site of most prominent inflammatory reaction, using a scalpel to cut through the skin, subcutaneous tissue, and separate the muscle layers.
5. Incise the peritoneum, locate the inflammatory mass, and first pack gauze pads around it to isolate and protect surrounding tissues.
6. Use a finger for blunt dissection to enter the abscess cavity and break apart fibrous septa.
7. After aspirating all pus, place gauze strips locally for drainage.
Abdominal wall abscess excision is somewhat invasive. To avoid harm to the body, the procedure should be performed under the guidance of a qualified physician. Additionally, maintain healthy lifestyle habits and avoid spicy or irritating foods to promote recovery.
