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Percutaneous abscess drainage is a minimally invasive procedure to drain any abscess in your body, through the skin. An abscess is an abnormal buildup or collection of inflammatory fluid known as pus, consisting of dead white blood cells, bacteria, and tissue debris. It is formed as an inflammatory response to an infection in your body. Percutaneous drainage is an image-guided (the ultrasound or CT images guide the surgeon to locate the abscess) drainage procedure of an abscess which is usually recommended when other non-surgical treatments, such as antibiotics, fail to provide relief. It is a stitch less and bloodless procedure, an excellent alternative to open surgical drainage.
Percutaneous (through the skin) abscess drainage is a procedure that is performed to remove pus from an abscess through a tiny incision. This ultrasound or CT (Computed Tomography)guided procedure helps the doctor locate the abscess for needle insertion through the skin (percutaneous) overlying the abscess. The pus is either drained through the inserted needle attached to a drainage bag or a catheter (a thin, hollow, flexible tube-like device) that is inserted into the abscess (for a large and severely infected abscess) for further drainage of residual (left out) pus.
Percutaneous drainage is performed through two techniques:
Percutaneous drainage is often recommended since it is a less traumatic procedure with quick recovery. It is indicated:
Evaluation of an abscess and preparation for percutaneous drainage involves the following.
Medical history
Your healthcare provider will evaluate the symptoms, such as the pain's intensity, duration, and location. You are advised to discuss any medical condition like diabetes (increased blood sugar levels), or recent illnesses with your doctor, including any chance of being pregnant. A list of all medications (blood thinners, anti-inflammatory drugs, etc.), including herbal supplements currently taken, should be mentioned, in addition to any history of allergies, trauma or surgeries. Discuss your social habits (like smoking, alcoholism, and tobacco use) with your doctor for the necessary precautions to be taken during and after percutaneous abscess drainage.
It is important for your doctor to examine you physically so as to correlate your clinical/physical symptoms with the diagnostic findings. Your doctor will palpate (examine by touch) the affected area for tenderness, pain, swelling, or any skin (overlying the area of abscess) changes.
Based on your diagnostic findings, your surgeon will determine if percutaneous drainage is the right treatment choice for you. Due to the risks involved with percutaneous drainage, your doctor will advise you to:
Percutaneous abscess drainage is usually performed by an interventional radiologist (a doctor especially trained to carry out image-guided, minimally invasive procedures to diagnose or treat diseases related to any organ), or a proctologist (a doctor specializing in the diseases of the colon, rectum, and anus) or a general surgeon under image guidance (CT or ultrasound).
You will be observed in a recovery room for the initial few hours after the drainage procedure.
Image-guided percutaneous abscess drainage is the most preferred choice of treatment in comparison to open surgical drainage due to the following benefits.
There can be occasional risks and complications associated with percutaneous abscess drainage, such as:
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