paronychia incision and drainage

Paronychia is often caused by stab wounds, abrasions, ingrowns, or pulls of "pricked thorns" in the sulcus and its adjacent tissues, causing sub-abscesses, often caused by the spread of paronychia or a stab wound. The crush is caused by a subcutaneous hematoma secondary infection, and the pathogen is mainly Staphylococcus aureus. If there is pus, it can be cut longitudinally in the nail groove. Treatment of diseases: suppurative paronychia Indication If there is pus accumulation in paronychia, drainage should be cut open. Contraindications 1. Liver and kidney function is very poor. 2. 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 A longitudinal incision was made along the lateral root of the lesion. If it is a full-segmental inflammation, a longitudinal incision is made on both sides, and the proximal end should not exceed the base plane of the nail bed. Then use a sharp-edged knife to insert a sharp separation between the root of the nail and the skin, flip the flap upwards, release the pus, and drain the rubber sheet. Such as accompanied by subcutaneous empyema, while the drainage of paronychia, the nail should be removed, pus discharged, covered with Vaseline gauze and wrapped. For the sub-abdominal empyema only at the root of the nail, it can also be used for partial nail-cutting, and the nail is picked up and cut. Care must be taken to cut all the nails to avoid the residue and affect healing. complication Incision infection: After the hand infection is cut and drained, care should be taken to change the medicine carefully and use effective antibiotics in time to avoid infection of the incision.

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