Once the abscess has been located, the surgeon drains the pus using the needle. They may make a small incision in your skin over the abscess, then insert a thin plastic tube called a drainage catheter into it. The catheter allows the pus to drain out into a bag and may have to be left in place for up to a week.
Slight pus leakage can be expected for a day or two after the procedure, but the dressing will need to be changed if it becomes too damp. The incision and drainage procedure is relatively straightforward, although in some cases an abscess may cause complications.
A small skin abscess may drain naturally, or simply shrink, dry up and disappear without any treatment. However, larger abscesses may need to be treated with antibiotics to clear the infection, and the pus may need to be drained.
Tissue Growth
After the swelling has stopped, you'll notice new tissue forming over the wound – this usually lasts a couple of weeks.
Your wound may continue to drain a large amount over the next several days as the infection slowly heals. Wear a gauze dressing to the wound to protect your clothing. You may also use a sanitary napkin for further protection of your clothing. You may notice bloody discharge for the next four to seven days.
Once the abscess has been located, the surgeon drains the pus using the needle. They may make a small incision in your skin over the abscess, then insert a thin plastic tube called a drainage catheter into it. The catheter allows the pus to drain out into a bag and may have to be left in place for up to a week.
If an abscess is not treated, the infection can last for months or even years.
The wound may drain for the first 2 days. Cover the wound with a clean dry dressing. Change the dressing if it becomes soaked with blood or pus. If a gauze packing was placed inside the abscess pocket, you may be told to remove it yourself.
Abscess-Drainage Procedure
Once located, the abscess is typically drained with an aspiration needle but, because it is likely to refill, surgery, which is performed under general anesthesia, is usually also necessary.
Can the abscess return? In most cases, the chance of an abscess coming back after proper treatment is very minimal. Taking all of the prescribed antibiotics is the best way to eliminate all of the infection. The abscess could come back in the same spot or elsewhere if the infection wasn't eliminated.
Gently clean out all loose debris with a Q-tip or washcloth. If your wound is not draining much, moisten a piece of gauze with saline, and gently place gauze into the deepest part of the wound. Do not pack tightly, but do keep the wound edges from touching, so that the wound can heal from the inside out.
Call your doctor if: The abscess doesn't drain after a few days of warm compresses. The abscess becomes more painful, swollen, and red. Red streaks develop around the infected area.
Skin abscesses usually are red, swollen, and warm to the touch, and might leak fluid. An abscess that forms in the surface of the skin might look like an unhealed wound or a pimple. An abscess that forms underneath the skin may create a swollen bump.
Your surgeon will make a cut on your skin over the abscess. This allows the pus to drain out. Once the pus has been removed, the cavity needs to heal upwards from the inside out, so the opening in your skin is left open.
Any access drainage should stop within a couple of days. Pain from the wound will gradually go away. The abscess should heal completely within two weeks.
It may take days, weeks, or even months for the wound to be clean, clear of infection, and finally heal. If the wound does not close by itself, you may need a skin graft or muscle flap surgery to close the wound.
It also may progress into septicemia, a more serious blood infection that is always accompanied by symptoms such as chills, high fever, rapid heartbeat, severe nausea, vomiting and confusion.
You may need to seek medical care if your abscess is not getting better. Signs of a worsening abscess are redness, continued increase in size, or a fever.
Yes, you can have a bath or a shower. If your wound does not have a dressing in place when you go home, then you can have a bath or a shower, simply let water run over the wound. If your wound does have a dressing then you can still bathe or shower.
If your abscess was opened with an Incision and Drainage: Keep the abscess covered 24 hours a day, removing bandages once daily to wash with warm soap and water. If the abscess was packed (with a cotton wick), leave it in until instructed by your clinician to remove the packing or return for re-evaluation.
Caused by bacteria, boils can be painful and may range in size from small to large. To drain an abscess, a doctor will lance, or cut, the skin to remove the pus. Then the doctor will flush out the wound and bandage it. If you plan on caring for your own boil at home, try not to pop it.
Although you might not notice it right away, antibiotics begin working as soon as you start taking them. Usually, within 2-3 days, you'll start feeling better and see an improvement in the infection. On average, a full course of antibiotics takes 7 to 14 days to complete depending on the type used.