When do we do incision and drainage?
A- Indurated diffuse swelling
B- Sinus tract
C- Chronic apical periodontitis.
Incision and Drainage of Abscesses:
WHAT YOU NEED TO KNOW:
An abscess is an area below the skin where pus accumulates. An incision and drainage of an abscess is a procedure used to drain pus.
The abscess is almost always caused by bacteria and can occur anywhere in the body.
HOW TO PREPARE:
Before the procedure:
- Arrange your trip back home. Ask a family member or friend to take you home after your surgery or procedure. Do not drive yourself.
- Ask your doctor if you have to stop using aspirin or any other prescription or non-prescription medication before your procedure or surgery.
- Write down the correct date, time, and place of your procedure.
The night before the procedure:
- Ask your doctors about directions for eating and drinking.
The day of your procedure:
- Consult your doctor before taking any medication during the day of your surgery.
Bring a list of all the medications you take or the bottles of your pills with you to the hospital.
Doctors will check that your medications do not intercede negatively with the medication you need for surgery.
- Doctors can insert an intravenous tube into your vein.
Usually, a vein in the arm is chosen.
For the IV tube, you may be given liquids and medicine.
- An anesthesiologist will talk with you before your surgery.
You may need medicine to keep you asleep or to numb some area of your body during surgery.
Tell doctors if you or someone in your family has had a problem with anesthesia before.
- You or a member of your close family will be asked to sign a piece of legal document known as an authorization form.
This gives doctors permission to do the procedure or surgery.
It also explains the problems that could occur, and their options.
Be sure that all your questions have been answered before you sign this form.
WHAT WILL HAPPEN:
The procedure:
The medical staff will administer medications to numb the area and so that you do not feel pain during the procedure.
Your doctor will make a skin incision just above the abscess.
It will then be cleaned inside the abscess with a gauze-wrapped device, or with a cotton applicator.
The wound is washed with salt water.
The abscess cavity is filled with a single or medicated gauze, a dry bandage is placed over the wound and it is glued with adhesive tape.
After the procedure:
Doctors will monitor your heartbeat and breathing.
Do not get out of bed until your doctor has told you to.
When you have been discharged and arrive home make sure you have someone accompanying you for 24 hours.
CONTACT YOUR HEALTH PROVIDER IF:
- You cannot appear on time for your procedure appointment.
- You get sick or have a fever.
- You have questions or concerns about your procedure.
RISKS:
You may feel pain or bleed from the area where you had the procedure.
You may also have a scar on your skin while it heals.
The incision may heal slowly if you have a medical disorder that causes poor circulation (blood flow), such as diabetes.
The abscess may form again, even after treatment.
You may need to have the same procedure done again in case the abscess returns.
Bacteria could spread to your heart or other organs, which can be life threatening.
Request more information from your doctor about these risks.
AGREEMENTS ABOUT YOUR CARE:
You have the right to participate in planning your care.
Learn all you can about your condition and how to treat it.
Discuss with your doctors your treatment options to decide together the care you want to receive.
You always have the right to refuse treatment.
A- Indurated diffuse swelling
B- Sinus tract
C- Chronic apical periodontitis.
Incision and Drainage of Abscesses:
WHAT YOU NEED TO KNOW:
An abscess is an area below the skin where pus accumulates. An incision and drainage of an abscess is a procedure used to drain pus.
The abscess is almost always caused by bacteria and can occur anywhere in the body.
HOW TO PREPARE:
Before the procedure:
- Arrange your trip back home. Ask a family member or friend to take you home after your surgery or procedure. Do not drive yourself.
- Ask your doctor if you have to stop using aspirin or any other prescription or non-prescription medication before your procedure or surgery.
- Write down the correct date, time, and place of your procedure.
The night before the procedure:
- Ask your doctors about directions for eating and drinking.
The day of your procedure:
- Consult your doctor before taking any medication during the day of your surgery.
Bring a list of all the medications you take or the bottles of your pills with you to the hospital.
Doctors will check that your medications do not intercede negatively with the medication you need for surgery.
- Doctors can insert an intravenous tube into your vein.
Usually, a vein in the arm is chosen.
For the IV tube, you may be given liquids and medicine.
- An anesthesiologist will talk with you before your surgery.
You may need medicine to keep you asleep or to numb some area of your body during surgery.
Tell doctors if you or someone in your family has had a problem with anesthesia before.
- You or a member of your close family will be asked to sign a piece of legal document known as an authorization form.
This gives doctors permission to do the procedure or surgery.
It also explains the problems that could occur, and their options.
Be sure that all your questions have been answered before you sign this form.
WHAT WILL HAPPEN:
The procedure:
The medical staff will administer medications to numb the area and so that you do not feel pain during the procedure.
Your doctor will make a skin incision just above the abscess.
It will then be cleaned inside the abscess with a gauze-wrapped device, or with a cotton applicator.
The wound is washed with salt water.
The abscess cavity is filled with a single or medicated gauze, a dry bandage is placed over the wound and it is glued with adhesive tape.
After the procedure:
Doctors will monitor your heartbeat and breathing.
Do not get out of bed until your doctor has told you to.
When you have been discharged and arrive home make sure you have someone accompanying you for 24 hours.
CONTACT YOUR HEALTH PROVIDER IF:
- You cannot appear on time for your procedure appointment.
- You get sick or have a fever.
- You have questions or concerns about your procedure.
RISKS:
You may feel pain or bleed from the area where you had the procedure.
You may also have a scar on your skin while it heals.
The incision may heal slowly if you have a medical disorder that causes poor circulation (blood flow), such as diabetes.
The abscess may form again, even after treatment.
You may need to have the same procedure done again in case the abscess returns.
Bacteria could spread to your heart or other organs, which can be life threatening.
Request more information from your doctor about these risks.
AGREEMENTS ABOUT YOUR CARE:
You have the right to participate in planning your care.
Learn all you can about your condition and how to treat it.
Discuss with your doctors your treatment options to decide together the care you want to receive.
You always have the right to refuse treatment.
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Oral Surgery