Basic Principles Of Incision And Drainage

Basic Principles Of Incision And Drainage

Question 1. Write short notes on various types of abscesses and Hilton’s method of Drainage.

Answer. An abscess is a pathological thick-walled tissue cavity filled with necrotic tissue, bacteria, and leukocytes caused by a localized collection of purulent inflammatory tissue and suppuration from infection in a buried tissue, organ, or confined space.

Hilton’s Method Of Drainage – Types Of Abscess

• Pyogenic abscess: It is produced by staphylococcal bacteria.
  Organisms enter soft tissues by an external wound. It can be subcutaneous, deep or it can be a viscera.
• Pyemic abscess: It is due to pus-producing organisms in circulation. It is the systemic effect of sepsis. It commonly occurs in diabetics and patients receiving chemotherapy and radiotherapy.
• Cold abscess: It means an abscess with no signs of inflammation. It is caused due to tuberculosis.

Hilton’s Method Of Drainage

• Initially, broad-spectrum antibiotics are started.
• Under general anesthesia or regional block anesthesia after cleaning and draping, the abscess is aspirated and the presence of pus is confirmed.
• Skin is incised adequately in a line parallel to the neurovascular bundle.
• The pyogenic membrane is opened using sinus forceps and all loculi are broken up.
• The abscess cavity is cleared of pus and washed with saline.
• A drain is placed
• The wound is not closed, the wound is allowed to heal and granulate.