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Abscess Drainage (Abscess Removal)

Abscess Drainage (Abscess Removal)

What is an Abscess?

An abscess is a lesion filled with pus that can occur anywhere in the body, often accompanied by pain, fever, and redness. While abscesses that form under the skin can be visible, those occurring in the abdominal cavity or organs are not externally visible.

What Causes an Abscess?

Abscesses are most commonly caused by bacterial infections. When bacteria enter the body, the immune system responds by attempting to contain and prevent the spread of the infection. This leads to the formation of swollen areas filled with pus.

Abscesses can also be caused by rare pathogens, such as fungal infections, or by bacterial infection of lesions like epidermoid cysts located under the skin.

What is Abscess Drainage?

Abscess drainage is a procedure performed after local anesthesia, which involves making a small incision to drain the pus from the abscess. After the drainage, the cavity should be cleaned and washed, and antibiotic treatment should be initiated. In some cases, the abscess cavity may need to be flushed out at regular intervals to ensure proper healing.

How is an Abscess Drained?

If the abscess is located in a visible and accessible area, it can usually be drained in a clinic setting without requiring an operating room. After cleaning the area around the abscess, local anesthesia is applied, and a small incision is made to drain the pus. Following drainage, the abscess cavity is cleaned.

When is Abscess Drainage Performed?

An abscess is a lesion filled with pus, characterized by surrounding redness and a hard area that may be painful to the touch. This area is known as the induration zone (the body’s defense mechanism).

During physical examination, a fluctuating abscess may be palpated, indicating that the skin is thinning and bulging towards the surface. At this point, it is assumed that the abscess contains pus, which must be drained. Antibiotic treatment is also initiated after drainage.

How is Abscess Drainage Surgery Performed?

Abscess drainage surgery is a minor surgical procedure performed under local anesthesia in a clinic. The entire process usually takes about 10-15 minutes, allowing the patient to return to their daily activities afterward.

What is Percutaneous Abscess Drainage?

Percutaneous abscess drainage is a procedure typically performed for abscesses located in the abdominal cavity or organs that are not visible during examination. This is done using ultrasound guidance or through direct access to drain the abscess.

How is an Abscess Treated?

Once an abscess is detected, drainage (the emptying process) must be performed immediately. Following this, antibiotic treatment is required.

What Should Be Done If an Abscess Bursts?

An abscess typically presents with fever, pain, and redness until it reaches a certain tension level, at which point the pus volume increases and the abscess begins to swell, eventually bursting at its weakest point. After the abscess bursts, the pressure in the cavity decreases, and the pus drains out; however, a portion of the abscess may still remain. In such cases, the remaining abscess must also be drained, the cavity cleaned, and antibiotics started.

How is an Abscess in the Breast Drained?

Abscesses can form anywhere in the body, including the breast. If the breast abscess is superficial (close to the skin),it can be drained under local anesthesia in a clinic. If it is deep-seated, the procedure is performed under sedation and local anesthesia to prevent pain.

What is the Drainage of a Coccygeal Abscess?

Most coccygeal abscesses are seen as pilonidal sinus abscesses, which are quite painful and often detectable through physical examination. These abscesses can also be drained under local anesthesia in a clinic setting.

How Long Does it Take for Abscess Drainage to Heal?

The healing time for an abscess varies depending on its location and size. After abscess drainage, antibiotic treatment is initiated, and with proper follow-up, healing typically occurs within about one week. This timeframe may vary; it could be shorter or longer depending on individual circumstances.

Update Date: 01.07.2025
Assoc. Prof. Dr Sezai Aydın
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Prof. Dr. Sezai Aydın
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Assoc. Prof. Dr Sezai AydınProf. Dr. Sezai AydınGeneral Surgery Turkey
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