Abscess is a localized and clearly limited cavity filled with pus. Pus is a collection consisting of necrotic detritus, bacteria, extinct cells, leukocytes, and transduced liquids. Infection is a condition for creating an abscess. The formed abscess is limited to the surrounding tissue by the capsule (pyogenic membrane). It prevents the spread of bacterial infection into the surrounding tissue, but on the other hand it is a barrier that does not allow the penetration of antibiotics into the abscess cavity.
According to the etiology and place of origin, the most common are:
- Posttraumatic abscess is the result of the presence of a foreign body, a devitalized necrotic tissue, a blood coagulum.
- Anorectal abscess occurs as a result of inflammation of anal crypts that get complicated with the occurrence of fistula to the perianal or perirectal region.
- Post-injection abscess is the result of injection therapy. The most common localization is the gluteal region.
- Abscess in visceral spaces and around organs.
In superficial abscess, symptoms may be local (swelling, pain, redness) and systemic (fever). The skin above the abscess can be changed in color, red livid, red and warm. The fluctuation phenomenon is typical for “mature” abscesses, when the palpation can determine the presence of fluid content in the swelling.
Surgical therapy involves incision, evacuation of the abscess content and secured cavity drainage. If a multilocular cavity is suspected, bariers should be broken during the intervention so that the entire content can be drained. Antibiotic therapy – yes or no, depending on systemic complications and assessment of the surgeon.
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