Abscess — is a limited accumulation of pus in the tissues or organs due to inflammation and tissue fusion and the formation of cavities.
The cause of the abscess (abscess) is the penetration into the tissue pus-producing germs (through abrasion, punctures, wounds). Microorganisms can enter the result of accidental injury or recorded with therapeutic manipulation (injection, subcutaneous injection) produced without complying with the rules of asepsis.
Ulcer may develop in acute purulent inflammation of any organ (lung), skin and subcutaneous tissue, particularly in furunculosis, carbuncles, cellulitis, lymphadenitis, etc. It can form on the site of hemorrhage or hematoma (hematoma abscess).
Frequent abscess (abscess) due to hematogenous metastasis in general purulent infection (metastatic abscesses).
Abscess (abscess) that may be caused by all kinds of microorganisms, the size and location are most diverse. Usually occur in the center of the inflammatory infiltrate, only metastatic abscesses are located away from the main inflammatory focus. The shape of their cavity - from simple to complex curved with numerous pockets and blind passages. Ulcers are seen over the swelling and hyperemia (redness) of skin that is observed only at its deepest location.
In acute inflammation is very important symptom fluctuation, or fluctuation. He explained the presence of fluid (pus), enclosed in a cavity with elastic walls, which transmit the stimulus in the form of waves in all directions. Symptom is absent, when the wall is very thick, and the abscess is small and is located in the depths. Confirm the diagnosis can be a test cavity thick needle puncture in the presence of pus.
In chronic abscess (abscess) above signs of acute inflammation may be almost completely absent.
Breakthrough abscess in any cavity (joint, pleura, etc.) is a serious complication. Especially dangerous are these abscesses are located in the internal organs (liver, lungs) and close to major veins. Possible consequences of their breakthrough - purulent pleurisy, peritonitis, or inflammation of the transition to the wall with the development of progressive vein thrombophlebitis.
Pyo-inflammatory processes (before the formation of a purulent cavity) are treated with conservative methods, local and parenteral antibiotics.
Small abscesses in malovirulentnoy flora can be cured by repeated puncture with aspiration of pus and injection of antibiotics. Indications for and urgency of the operation determined by the degree of intoxication. With a small abscess can be limited to one cut, re-required for a significant accumulation of pus and zatekah. Incisions must comply with the direction of skin folds, and on the extremities - defined lines of bending the joints, ie by its position and size to ensure a good flow of pus.
Deep abscesses opened with a preliminary test puncture. After receiving the tip of the pus, it left in place as a conduit through which make the cut. Patients with abscess (abscess) expressed the general reaction hospitalized in purulent surgical department.
Type of surgery / manipulation
|Outpatient treatment of abscess||4 000 rub.|
|Ligation, removal of drains, removal of sutures||500 rub.|
If you have any questions about the diagnosis and treatment of an abscess (abscess), you can specify them with our surgeon or trauma on the phone: +7 (926) 988-14-23
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