Abscess symptoms. Causes, symptoms and treatment methods for abscess. Surgical removal of an abscess

In this article:

An abscess is a purulent inflammation (a disease that affects tissue), resulting in purulent melting of tissue, the formation of a cavity filled to the brim with purulent contents.

Figure No. 2 Diagram of an abscess

Most often, the disease affects people with reduced immunity, both young and old.

Causes of the disease

The direct cause of the development of the disease is the penetration of pathogenic flora into microcracks in the skin. After which it begins to actively multiply and spread. Microorganisms that cause the inflammatory process are staphylococci and streptococci; often the flora can be mixed. Penetration can occur through the sebaceous or sweat glands.

The following factors can provoke the disease:

• Violation of the integrity of the dermis when working with soil or chemicals;
• Overheat;
• Hypothermia;
• Staying in water for too long;
• Ignoring the norms of individual body hygiene;
• Immunodeficiency of the first or second type;
• Poor nutrition;
• Problems in the functioning of the endocrine glands.

People with diabetes mellitus, both categories 1 and 2, are at risk. With this diagnosis, diseases caused by pyogenic microflora occur much more often than in other people. In these patients, microcirculation is impaired (increased permeability of the capillary bed). And the temperature of the liquid inside any wound is favorable for the development of pathogenic microflora. Normally, wound exudate has bactericidal properties. But they are reduced in diabetes mellitus.

Forms and types of the disease and its course

Along the course, the abscess is divided into 2 groups:

1. Acute form, which lasts no more than two months;
2. Chronic form, which lasts two months or longer.

• Streptoderma;
• Staphyloderma;
• Streptostaphyloderma.

The disease can cause serious damage to health, therefore, if symptoms occur, you should consult a doctor and begin treatment.

Based on the location of the inflammatory process, the following areas are distinguished:

• Liver;
• Douglas space;
• Pancreas;
• Periodontal zone;
• Brain;
• Soft fabrics;
• Peritonsillar zone;
• Subdiaphragmatic zone;
• Appendicular zone;
• In the scrotal area;
• Intestines;
• Prostate;
• Lungs;
• Periopharyngeal zone;
• Outside the throat.

Drawing No. 3. Superficial periodontal abscess

Figure No. 4. Abscess in the jaw area, superficial

Figure No. 5. Lung abscess

Along the way, doctors pay attention to 3 main types of abscess:

1. Spicy (hot). It is characterized by the presence of a local inflammatory reaction, as well as a deterioration in the general condition of the patient;
2. Cold. Its key feature is that it occurs secretly, without clear symptoms indicating an illness (pain, skin inflammation, increased body temperature). This type of abscess is observed in people with the early stage of tuberculosis of the osteoarticular type or actinomycosis.
3. Sinter type. The accumulation of pus with this type of abscess goes away without an inflammatory process. In this case, purulent formation can accumulate over several weeks or months. Often observed in tuberculosis of the osteoarticular type.

Based on the depth of the lesion, it is customary to distinguish:

1. Deep forms. In which the symptoms of general intoxication (fever up to 40 o C, malaise and severe headaches) are in the foreground.
2. Superficial. In these forms, fluctuation of tissues during their purulent melting, swelling and redness of the skin over the site of the lesion are clearly noticeable.

Remember that if you suspect an abscess, you should immediately seek medical help!

Symptoms

The clinical picture of the disease depends on the type of pathogen. Common symptoms include:

• Redness of the skin;
• Temperature increase;
• Formation of a cavity with purulent content.

Other purulent pathologies can provoke a soft tissue abscess:

• Hidradenitis;
• Pseudofurunculosis.

The infection penetrates into soft tissues or organs through the bloodstream. A soft tissue abscess can be caused by a needle stick contaminated with bacteria.

Diagnostics

If you experience symptoms indicating an abscess, you should immediately visit a surgeon or dermatologist. In most cases, a visual inspection of the inflamed area of ​​skin and palpation is sufficient for a specialist. Sometimes an analysis of secretions is taken to determine the causative agent of the disease.

Treatment

In the initial stage of the disease, before purulent melting of the tissues, conservative methods are recommended: UHF. A mature abscess is treated exclusively surgically!

Figure No. 6. Opening an abscess

Surgical intervention involves the surgeon opening a cavity with pus, draining it (the lesion, roughly speaking, is cleaned out), and applying a bandage with an antiseptic. After surgical intervention, classical treatment of diseases caused by pyogenic microflora is used. It consists of using drugs that will completely destroy the pathogen. These include:

1. Antibiotics. They are prescribed by a specialist on an individual basis after determining the level of sensitivity of microorganisms. They usually come in the form of an ointment or cream.
2. Immunomodulators. Used in parallel with vitamins. Prescribed as injections.
3. Physiotherapy. To destroy germs and bacteria, UHF, ultrasound therapy, electrophoresis with antibiotics, UV irradiation and other methods are used.
4. Local treatment. The area of ​​skin with inflammation is covered with special aniline dyes, for example Castellani's solution. Additionally, disinfectant ointments are applied: Triderm, Lincomycin.

Do not self-medicate an abscess, the pus that has accumulated inside the tissues will not go anywhere, it must either break out or deep into the tissues, affecting the surrounding structures. Pus can only be removed!

Figure No. 7. Opened superficial abscess

ethnoscience

Please note that traditional medicine recipes can only be effective for mild forms of the disease. The most popular recipes include:

1. Using aloe juice. It has an antiseptic effect. Crushed leaves or a bandage soaked in juice are applied to the inflamed area before bed. A bandage is applied on top. You need to remove this lotion in the morning. Treatment should be stopped when the necrotic masses are rejected and the healing procedure begins.
2. Onion (onion). Bake the onion in the oven. Then you need to apply it to the affected area, covering it with a bandage. This method will speed up the ripening of the abscess.
3. Homemade ointment from honey, alcohol solution and Vishnevsky ointment. The ingredients should be mixed in equal proportions and applied to the inflamed area of ​​skin before bed. Thanks to this, the abscess will resolve faster.
4. Steamed rye bread. It is applied to the inflamed area, covered with a leaf of white cabbage. A clean bandage must be applied on top. All this must be left for 24 hours.

Before using traditional medicine, you need to consult a surgeon or dermatologist to make sure that you do not harm yourself.

Complications

Complications from an abscess are usually observed in cases where the cavity with pus is large and breaks into the surrounding tissue. For small foci of inflammation, it is enough to remove the pus from the cavity (this is an operation), the rest of the course of treatment can be treated inpatiently.

Negative consequences await people with a low level of immunity; in such cases, large abscesses can spread to soft tissues, parts of the body, or cause blood poisoning. Among the most common complications of an abscess are:

• Arthritis;
• Endocarditis;
• Lymphangitis;
• Osteomyelitis;
• Lymphadenitis;
• Blood poisoning;
• Sepsis.

Sepsis can be fatal. It is not excluded from the formation of secondary abscesses on internal organs with rupture of the latter and the development of peritonitis.

Prevention

Preventive measures are quite simple, it is recommended:

• Maintain personal hygiene standards;
• Avoid overheating or hypothermia of the skin;
• Take care of your skin;
• Eat properly and nutritiously;
• Take vitamins;
• Strengthen immunity;
• Avoid injury to the skin;
• Treat endocrine diseases and gastrointestinal pathologies.

And most importantly, promptly treat all abscesses, ulcers and other formations that are easy to notice on the skin.

An abscess is a purulent inflammation of tissues, leading to their melting and the formation of a cavity. The process can develop in any location: subcutaneous tissue, bones, muscles, organs and other tissues.

Abscesses are most often a complication of any infectious processes (for example, purulent arthritis, pneumonia, tonsillitis), but they can also occur primarily.

The cause of such inflammation is the entry of pathogenic microorganisms into tissues from the outside (through damage to the skin or mucous membrane) or from the source of infection in the body.

An abscess is delimited from healthy tissue by a protective capsule, which prevents inflammation from spreading (this is how it differs from). Abscesses should also be distinguished from empyema (accumulations of pus in body cavities and hollow organs).

Depending on the location, the following types of abscesses are distinguished:

• superficial (in subcutaneous fat);
• deep (in deep tissues, organs and cavities).

The routes of entry of an infectious pathogen can be:

• exogenous (the microorganism penetrates from the outside - during injuries, abrasions);
• endogenous (infection spreads from another source into the body - for example, with purulent arthritis).

Most often, the causative agents of infection in abscesses are streptococci, staphylococci, Escherichia coli, Proteus and others. The presence of mixed microflora is possible. Among atypical microorganisms, anaerobes, clostridia, and bacteroides are identified.

In some cases, the pus obtained when opening an abscess does not reveal the presence of microorganisms. This often indicates an atypical pathogen that does not grow on regular nutrient media. Also, lack of growth is possible due to the use of antibacterial therapy.

The ways in which microbes penetrate and abscesses develop are numerous: skin damage (microtraumas), spread of infection from the primary focus (infectious arthritis), suppuration of hematoma, cysts, errors in administering medications and performing surgical procedures. For example, when concentrated solutions of drugs, vaccines and toxoids are administered, avascular necrosis may occur, followed by infection and abscess formation.

With abscesses of any etiology, the affected tissues undergo purulent melting with the formation of a cavity. A characteristic feature of an abscess that distinguishes it from other types of inflammation (empyema, phlegmon) is the presence of a capsule (pyogenic membrane) - the inner wall of a purulent cavity that delimits inflammation from healthy tissues (a normal protective reaction of the body). The capsule is formed by granulation tissue; it prevents the purulent-necrotic process from spreading and produces exudate.

The outcome of abscesses can be their independent opening. In this case, superficially located abscesses, as a rule, open on the surface of the skin (with abscesses in the subcutaneous tissue, paraproctitis, mastitis). If the process is localized deeply, then it can break into closed cavities (joint cavity, abdominal, thoracic), into the lumen of hollow organs (organs of the gastrointestinal tract, bronchi, bladder and others).

As a rule, after opening the abscess, the patient’s well-being improves somewhat, the temperature may decrease, and inflammatory changes in the tests decrease. With a good immune response, the infectious process can end here: the abscess cavity decreases in size, collapses and a scar forms. If the cavity is not completely emptied, the process can become chronic with the formation of a fistula. A breakthrough of an abscess into a closed cavity can lead to the formation of a new focus of inflammation (peritonitis, pleurisy, meningitis and others).

Signs of an abscess

Regardless of location, all abscesses are characterized by the following symptoms:

• symptoms of intoxication: fever from low-grade to 40°C and above, weakness and general malaise, chills, lack of appetite, nausea and vomiting (especially in children), headaches, muscle and joint pain;
• with a superficial location of abscesses: redness of the skin and swelling over the site of the abscess, pain on palpation and during movement (if the abscess is located near a joint, in muscle tissue);
• dysfunction of the corresponding organ or part of the body (for example, difficulty moving when an abscess is located in muscle tissue, shortness of breath with lung abscesses).

Superficially located abscesses are characterized by the most striking local symptoms: redness of the skin over the site of inflammation, swelling, pain, local increase in temperature, dysfunction (if the abscess is located, for example, in the muscle area). Upon palpation, fluctuation can be determined (indicates the presence of fluid inside the cavity).

Deep abscesses can only manifest themselves as symptoms of intoxication. Therefore, instrumental research methods and puncture are of great importance in their identification. Symptoms of deep abscesses can vary depending on its size, location and etiology.

Let's look at the most common of them:

1. Intraosseous abscess (Brodie's abscess). It is an area of ​​necrosis of spongy bone that undergoes purulent melting. Usually localized in the tibia. It is most often caused by staphylococcus. May occur with purulent arthritis of the knee joint. It manifests itself as mild soreness when pressed, pain (more often after physical activity or when the weather changes, night pain is typical). Symptoms of intoxication are usually absent. The process can last for years with periods of temporary improvement. In this case, a cavity is formed in the bone tissue filled with purulent fluid.
2. Lung abscess. More often occurs with pneumonia, foreign bodies, diseases of the gastrointestinal tract. It may manifest itself as shortness of breath, weakening of breathing over the source of inflammation, and when an abscess ruptures, a cough occurs with the discharge of a large amount of purulent sputum. Differentiate the process with pneumonia. Chronic abscesses are characterized by alternating periods of exacerbation of symptoms and remission.
3. Liver abscess. Usually occurs with diseases of the gastrointestinal tract. There are usually no characteristic signs. In some cases, jaundice, pain in the liver area, and a feeling of heaviness in the right hypochondrium may occur.
4. Brain abscesses are more often formed due to infectious diseases of the nose and paranasal sinuses, inflammation of the ear, osteomyelitis of the skull bones and a number of other conditions. They are characterized by the appearance of focal symptoms of brain damage (convulsions, loss of coordination, paresis) against the background of intoxication.
5. Abscesses in the abdominal cavity (interintestinal, subphrenic, Douglas pouches) occur more often with diseases of the gastrointestinal tract and injuries. Vivid symptoms are characteristic in the form of abdominal pain, symptoms of intoxication, and sometimes it is possible to palpate the inflammatory infiltrate (compaction) over the site of abscess formation. A subphrenic abscess is a collection of pus under the diaphragm. It differs in that it cannot be detected by palpation (by pressing on the abdomen).
6. Prostate abscess most often occurs in acute prostatitis. Characterized by pain in the perineum and rectal area, pain during urination and defecation is possible.
7. Cold abscess. It is characterized by the accumulation of pus in a limited space. They usually come in small sizes. There is often no fever or other symptoms of intoxication. Cold abscesses are typical for patients suffering from immunodeficiency conditions, tuberculosis or actinomycosis.
8. Swelling abscess. It is a limited accumulation of pus, not accompanied by an inflammatory reaction. In this case, the process can spread along intertissue spaces over long distances. Occurs in osteoarticular tuberculosis.

In chronic forms of abscesses, acute inflammatory symptoms can almost completely disappear. In some cases, only slight swelling, moderate pain on palpation and fluctuation remain.

As a rule, superficially located abscesses are not difficult to identify based on characteristic external signs. Deep and chronic processes have to be diagnosed using instrumental and laboratory research methods.

• Laboratory research. In general and biochemical blood tests, inflammatory changes are noted: an increase in the number of leukocytes, a shift of the formula “to the left,” an acceleration of ESR, the degree of which depends on the prevalence and severity of the process. Inflammatory changes in biochemical analyzes are also characteristic (shifts in protein fractions, increased C-reactive protein, and others).
• Instrumental research methods:

• Radiography. It is carried out to identify the characteristic signs of arthritis, as well as intraosseous (a cavity surrounded by a zone of sclerosis) and subdiaphragmatic abscesses, lung abscesses (an area of ​​darkening, in the later stages - with a fluid level, in a chronic process - sequesters and pleural adhesions).
• Ultrasonography. Used to diagnose abscesses in the abdominal cavity and liver
• CT scan. It is of an auxiliary nature for the diagnosis of arthritis, identification of subdiaphragmatic abscesses, abscesses of the brain, lungs and liver.
• Echoencephalography (EchoEG), electroencephalography (EEG), pneumoencephalography and ventriculography, angiography and lumbar puncture are used to detect brain abscesses.
• Laparoscopy, angiohepatography and scanning can be used as adjuvant methods to identify liver abscesses.

• Puncture of the abscess and culture of the contents on nutrient media to identify the pathogen and determine its sensitivity to antibacterial drugs is carried out in all cases.

Treatment and prognosis of abscesses

The basis for successful treatment of abscesses is their timely detection. Therefore, if any symptoms of an acute infectious disease appear, you should immediately contact a specialist.

The basic principles of abscess treatment are:

1. Therapy is always in a hospital. If possible, in a multidisciplinary clinic with extensive therapeutic and diagnostic capabilities. Treatment is usually carried out in the emergency purulent surgery department. An exception may be small superficial abscesses, which can be opened and treated on an outpatient basis (in a clinic).
2. A mandatory stage of therapy is surgical opening and drainage of the abscess. Methods can be different, for example, in the treatment of abdominal abscesses - drainage and puncture under ultrasound guidance. If the abscess is located in a parenchymal organ (for example, the liver or lung), then it is simply punctured, the pus is aspirated, and an antibiotic solution is injected inside. In some cases, for example, with a chronic abscess, a radical operation is performed to remove part of the organ.
3. Drug therapy. Includes the mandatory use of antibacterial drugs (the abscess capsule makes it somewhat difficult for them to penetrate into the cavity), as well as symptomatic therapy (infusion therapy, painkillers, antipyretics and other drugs), vitamins, immunomodulators. A balanced diet, bed or semi-bed rest and rest are recommended.
4. At the recovery stage, physical therapy, physiotherapeutic procedures, and sanatorium treatment are possible (taking into account the etiology and localization of the process).

Conclusion

The prognosis is generally favorable with timely treatment of small, superficial abscesses. In the presence of risk factors (diabetes mellitus, smoking, alcoholism, tuberculosis, immunodeficiency conditions and others), the prognosis may become worse. In this case, the process may enter a chronic stage and other complications may arise (for example, generalization of infection -).

Good day, dear readers!

In this article we will talk about such a disease as abscess, or as we more often call it - abscess.

Abscess (boil)– local accumulation of pus caused by chronic or acute local infection.

An abscess can occur independently or as a complication of injuries and other diseases (for example, or). It can affect bones, muscles, subcutaneous tissue, internal organs and the space between them.

Causes of abscess

The cause of an abscess lies in pathogenic microorganisms, most often viruses and bacteria, which enter the body through damage to the skin or mucous membrane. In addition, an abscess can develop in internal organs for no apparent reason, because Various microorganisms are already present in a certain amount in humans, but not in active form. And, as soon as the immune system is weakened under the influence of unfavorable factors, these viruses and bacteria become active and begin to rapidly multiply and harm human health.

An abscess, in fact, is a protective capsule of the body against an infection trying to infect it. It accumulates infection in one place, protecting healthy tissues from inflammatory processes, as a result of which we can observe an abscess.

Abscess symptoms

The occurrence of an abscess is first indicated by the appearance of a painful, hard node with redness in a circle. After some time (from 2 days to 2 weeks), a capsule filled with pus forms at the site of the node.

Such an abscess is immediately visible, as it is located in the tissue under the skin, dermis or muscle.

If the abscess is located on internal organs, it is much more difficult to diagnose them, but for effective treatment, this is extremely important!

Common symptoms of an abscess:

- redness of the skin;
- pain at the site of inflammation;
— ;
- swelling;
- dysfunction of the organ;
— ;
— , malaise;
- loss of appetite.

If signs of an abscess occur, contact your surgeon immediately!!! Opening an abscess on your own is unacceptable, because... there is a risk of complications.

After the abscess has opened, the emptied cavity can be scarred with proper care and conditions. If the cavity is not completely emptied, the inflammatory process can become chronic.

It is very important to prevent the abscess from breaking through into closed cavities, because this can lead to the occurrence of purulent processes, such as:, etc.

Photos of an abscess can cause unpleasant feelings, so they can be viewed on the forum.

Complications of an abscess:

- abscess ruptures outward or inward;
- spread of infection throughout the body;
- bacteremia (bacteria entering the blood);
- arrosive bleeding;
— generalization of infection (transition to chronic form);
— dysfunction of vital organs;
- exhaustion caused by tissue breakdown.

Types of abscess

An abscess is classified by duration as well as location.

By duration:

- acute abscess;
- chronic abscess.

By localization (location):

Soft tissue abscess. Includes an abscess on the skin, in fatty tissue, in muscles and a cold abscess (with bone).

Oral abscess. Affects gums, tongue, cheeks, palate.

Appendicular abscess. This type is a complication of acute appendicitis (an abscess with a vermiform appendix).

Bezold's abscess. This is a deep abscess under the neck muscles.

Brain abscess. The abscess is located in the medulla.

Lung abscess. It is necrosis of lung tissue with the formation of cavities.

Retropharyngeal abscess. It is a complication of acute infection. It manifests itself as purulent inflammation of the lymph nodes and retropharyngeal space.

Pelvic abscess. Located near the rectum.

Interintestinal abscess. In the area between the intestinal loops and the abdominal wall.

Peritonsillar abscess. It is a complication of phlegmonous tonsillitis. Located near the palatine tonsil.

Liver abscess. Located in the liver. Based on etiology, it is divided into amoebic and bacterial.

Subphrenic abscess. Occurs as a result of injury, inflammation or surgery, located under the diaphragm.

Spinal epidural abscess. It affects the tissue surrounding the membrane of the spinal cord.

Diagnosis of an abscess

A specialist can easily see and diagnose a superficial abscess, but a deep internal abscess is not so easy to diagnose.

To diagnose an abscess the following is prescribed:

Most often, after diagnosis, the doctor (surgeon) prescribes surgical treatment of the abscess. The doctor opens the purulent cavity, empties it, and then drains it. If the abscess is superficial and small, then an autopsy can be performed in an outpatient clinic.

If the abscess is internal and located on the internal organs, the patient requires urgent hospitalization in a surgical hospital.

Lung and liver abscesses are treated by puncture with aspiration of pus and the introduction of antibiotics and enzyme preparations into the abscess cavity.

Antibiotics are prescribed after diagnosis, after determining the type of infectious agent, because various pathogens are treated with certain antibacterial drugs.

After opening the abscess, the patient is prescribed:

- adhere to a healthy diet rich in;
— detoxification therapy;
- antibacterial agents are prescribed.

Treatment of abscess with folk remedies

An abscess is a surgical disease and therefore requires surgical intervention by a specialist. If you do the treatment yourself, there is a risk of developing abscess complications, so if you decide to treat an abscess at home, be sure to consult a doctor!

Aloe. Apply a cut leaf, gauze moistened with aloe juice or aloe pulp in a bandage to the site of the superficial abscess. Change the product every 10 hours.

Onion. Grate the raw onion into a fine paste, wrap it in gauze and apply to the sore spot. Change the lotion every 4 hours.

You can also boil the onion in milk or bake it in the oven and apply it without waiting for it to cool completely.

Onions with soap. Bake the onion and rub it with baby soap (1:1). Apply to the sore spot and change every 5 hours.

Honey ointment. Take Vishnevsky ointment and alcohol (in no case vodka!) in equal proportions. Mix all ingredients until smooth and apply under the bandage at night.

Bread. Steam the rye bread and apply it warm to the sore spot, cover with a cabbage leaf, wrap in paper and bandage. Leave the compress on for a day.

Potato. Peel the raw potatoes, grate them on a coarse grater and apply the paste with a bandage on the sore spot for no more than 4 hours.

Plantain. Crush freshly cut clean leaves and apply to the superficial abscess. Change every 4 hours.

Burdock. Chew fresh annual burdock root on an empty stomach and apply this mass to the sore spot for 1 day.

Also make an infusion of burdock. 1 tbsp. Pour a spoonful of dry burdock root into 1 cup of boiling water and leave to brew overnight. Drink this glass of decoction in the morning immediately after chewing the fresh root.

Horsetail Take 3 tbsp. spoons of grass, the same amount of heather grass and 4 tbsp. spoons of goldenrod herb. 1 tbsp. Pour 1 cup of boiling water over a spoonful of this mixture and let stand for 2 hours (or boil for 10-15 minutes and cool). Use the warm infusion as a compress on the sore spot. But keep it warm; when it cools down, remove it.

Vegetable oil with propolis. Bring 100 g of vegetable oil to a boil and cool to a temperature of 50-60°C. Add 10 g of peeled and crushed wax. Stirring constantly, heat the mixture for 10 minutes to 70-80°C. While still hot, strain through gauze and apply the resulting ointment to the abscess.

Abscess prevention

Prevention of abscess includes compliance with antiseptics, asepsis and timely proper treatment of wounds and abrasions.

Which doctor should I contact for an abscess?

Abscess. Video

Abscess is a purulent inflammation of tissue with the formation of a cavity, which is surrounded by a pyogenic membrane. Places of possible occurrence: bones , muscles , subcutaneous tissue , as well as other organs.

The cause of an abscess can be various diseases ( retropharyngeal abscess with tissue inflammation with pneumonia, trauma etc.), cases of independent occurrence are also known.

The cause of an abscess is microbes; most often, infection occurs through damaged mucous membranes, areas of skin, as well as the introduction of pathogens from another focus through lymphatic and blood vessels. Thus, an abscess, through the formation of a capsule, exhibits the protective functions of the body, limiting uninfected areas of tissue from infected ones.

There are several types of abscesses:

Cold abscess often observed in certain phases of the flow actinomycosis or osteoarticular . It is characterized by the accumulation of pus without general and local manifestations of the inflammatory reaction, which are characteristic of a regular abscess (increased body temperature, redness of the skin, pain).

Severe abscess is an abscess that is not accompanied by an acute inflammatory reaction, usually found in osteoarticular tuberculosis.

Subphrenic abscess is a collection of pus, usually with gas, under the diaphragm (abdominal septum); is a complication of acute inflammatory diseases ( perforated ulcer of the duodenum or stomach, ).

The doctors

Abscess treatment

Early diagnosis followed by treatment is a necessary condition for successful disposal of purulent inflammation. The diagnosis of an abscess is a reason for surgical intervention, so in most cases surgical methods are used to treat them. First, the purulent cavity is opened, then emptied and drained. Getting rid of small abscesses of subcutaneous fat is carried out in an outpatient setting and is a simple operation under local anesthesia.

If an abscess of any internal organ is suspected, the patient is usually hospitalized in the operating department. For abscesses of some organs, puncture and aspiration of pus are performed, as well as the administration of antibiotics.

After opening, abscesses are treated in the same way as purulent wounds. When prescribing antibiotics, the sensitivity of the microflora to them is taken into account. In the case when purulent inflammation occurs against the background diabetes mellitus , normalization of metabolism is necessary. Abscesses are treated successfully in most cases, without the need for further surgical intervention.

List of sources

• Gostishchev V.K. Operative purulent surgery / Guide for doctors. - M., 1996;
• Blatun, L. A. Phlegmons and abscesses: modern treatment options / L. A. Blatun // Attending physician. - 2002. - No. 1-2;
• Svetukhin A.M., Amiraslanov Yu.A. Purulent surgery: current state of the problem // 50 lectures on surgery. - Ed. Academician V.S. Savelyev. - M.: Media Medica, 2003.