Incision and drainage of suppurative bursitis

The temporal sac and the ulnar sac communicate with each other, and the inflammation can spread to each other. The proximal ends of the sacral sac and the ulnar sac are adjacent to the posterior flexor muscle at 2 cm above the ulnar and tibial styloid processes. Therefore, suppurative bursitis should be treated in time to prevent spread. Treatment of diseases: volar suppurative tenosynovitis, bursitis and deep interstitial infection of bursitis Indication Suppurative bursitis is obviously swollen. When puncture has pus, decompression and drainage should be performed as soon as possible. Contraindications If you are old and weak, you should be cautious about important organs such as heart and lung. Preoperative preparation 1. Rational use of antibiotics according to the condition. 2. For severe hand infections, the general condition is weak, should pay attention to improve the general condition and improve the body's resistance. 3. When the hand is deep and abscess is cut, it is advisable to use a tourniquet to control hemostasis, so that the surgical field is clear and the operation is safe. Surgical procedure Ulnar bursitis can be along the temporal side of the small intermuscular muscle, from the distal palm transverse pattern to the transverse transverse ligament plane as a longitudinal incision. The incision is pulled to the sides, and the swollen ulnar sac can be seen on the palm of the fifth metacarpal, and the drainage is expanded and the pus is discharged. Then rinse the abscess. Vaseline gauze strips or rubber sheets are placed outside the capsule for drainage. Ulnar bursitis can be combined with intervertebral space infection, and drainage should be performed at the same time. Lateral bursitis was treated with a lateral marginal incision of the large fish stalk, that is, the skin, subcutaneous tissue, and temporal sac were cut at the temporal side of the distal half of the lateral palmar striate for drainage. complication Abscess in the hand.

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