Incision and drainage of suppurative tenosynovitis

The flexor tendon of the finger is surrounded by the tendon sheath, the inner layer of the tendon sheath is a closed synovial sac, and the outer layer is a non-stretchable fibrous fibrous sleeve composed of a sheath-like ligament and a phalanx. When the tendon sheath is swollen, the pressure rises, which can cause tendon ischemia and necrosis. The little finger and the thumb tendon sheath communicate with the ulnar and temporal sac sac, respectively, and the inflammation of the former can spread to the latter. It is indicated that tenosynovitis can affect the inter-major gap, and the middle finger and ring finger tenosynovitis can affect the gap between the palms. Therefore, for suppurative tenosynovitis, drainage should be performed early. Treatment of diseases: tenosynovitis, suppurative tenosynovitis, bursitis and deep interstitial infection, acute suppurative tenosynovitis Indication The diagnosis of suppurative tenosynovitis is established, and it is obviously swollen. The decompression and drainage should be cut open. Contraindications The patient is too old and should be filled with poor general condition. 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 Make a longitudinal incision on one side of the finger, carefully open the incision, avoid the blood vessels and nerves, cut the tendon sheath, and remove the pus. After washing the tendon sheath with physiological saline, the rubber sheath was placed under the sheath of the tendon sheath and drained. complication 1. hand infection; 2. The hand is red and swollen; 3. Hand pain.

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