g. Cardinal Rules for Incision and Drainage Procedure. Note the following
Adequate local anesthesia permits complete drainage of the abscess.
(2) The incision must encompass the entire diameter of the abscess cavity
so that the cavity can be evacuated easily.
(3) Frequent postoperative warm water soaks to the abscess site hasten
resolution of the inflammatory process and promote healing.
PARONYCHIA, INCISION, AND DRAINAGE
a. Definition and General Considerations. Paronychia is defined as the
inflammation of the tissues around the nail. Another name for this condition is whitlow.
General conditions that are pertinent to this condition are as follows:
(1) Paronychia is most often caused by a bacterial infection but is
occasionally caused by a viral or fungal infection.
This condition usually occurs around the fingernails rather than the
The condition is generally painful because of the tissue tension.
If untreated, paronychia can lead to abscess formations.
b. Conservative Treatment. If the condition is treated early, conservative
treatment may be all that is necessary. Such treatment includes:
Zinc oxide dressing.
Elevation of the hand (if a fingernail is affected).
c. Indications for Incision and Drainage. Incision and drainage procedure is
Prevent the spread of infection.