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Abscess splitting

Important NOTE:
The description of the interventions was compiled with the greatest care. However, it can only be an overview and does not claim to be complete. The websites of the service providers and the personal consultation with the doctor or the surgical explanation in the respective operating facility provide further information.
The persons responsible for the content of this website do not guarantee the completeness and correctness of the information, as constant changes, further developments and specifications are made as a result of scientific research or adaptation of the guidelines by the medical societies.

Here you will find:

"Ubis Pus, ivi evacua" - Where there is pus, it must be opened. This principle, which has been recognized and practiced in medicine for centuries, is still largely valid today. While with small accumulations of pus, such as pimples or small boils, you can wait until the skin over the pus tears by itself and the pus can drain away, with larger abscesses - defined as closed tissue cavities filled with pus - the surgeon must help with the scalpel. This is usually a small operation that can easily be carried out on an outpatient basis under local anesthesia.
Abscesses are caused by the penetration of pathogens. Depending on the localization, a distinction is made between e.g. skin abscesses after small injuries, subcutaneous abscesses (located under the skin) e.g. due to small foreign bodies or after injections and accumulations of pus on the hair roots (folliculitis or boils). Special forms are the sweat gland abscesses, mainly found in the armpits, abscesses in the anal area, and suppurations on the nail bed (circulation or panaritium).

What happens during this procedure?

First, the area around the abscess is given a local anesthetic. Then the doctor splits the abscess, i.e. he cuts the skin over the pus focus with a scalpel so that the pus can drain away. The abscess cavity may then be rinsed. The wound is not closed with a suture. In some cases a flap or a plastic tube (drainage) is inserted so that the wound does not heal too quickly and the remaining pus can then no longer drain away.
The previous pain usually subsides quickly as a result of this procedure.

When does the doctor advise you to have this procedure?

You should see a doctor for any inflamed lump that does not go away on its own or becomes larger within a week.
In the case of skin abscesses and boils, the doctor will recommend surgical measures if general measures such as immobilization, moist compresses with antiseptic additives or anti-inflammatory radiation have not brought the desired success or if there are already signs of a general infection such as an inflammation of the lymph vessels (red line leading away from the pus focus, swollen lymph nodes ) or have a fever. Sweat gland abscesses and abscesses in the anal area almost always have to be cut open.

Which stunning method is usually used?

The procedure can usually be performed under local anesthesia (reference: local anesthesia).

How long does the procedure take on average?

The procedure usually only takes a few minutes.

Who may not be suitable for this procedure?

The abscess splitting is basically possible in every patient.

How is the risk to be assessed?

The risk of minor surgery is very low. The danger lies more in delaying the therapy, as the germs can then spread further in the body.
In the case of larger abscesses, expect a scar to remain after the procedure.

What do you have to consider before the procedure?

The doctor will often prescribe antibiotics for you before the procedure, which you should definitely take as directed. Under no circumstances should you try your hand at being a hobby surgeon and manipulate the pus focus yourself with pointed or sharp objects. This is especially true for abscesses in the facial area, as germs are easily carried into the brain here, where they can cause great damage.

What happens after the procedure and what should be considered?

Since the pus that runs out contains bacteria, you should pay particular attention to hygiene. This applies to both personal hygiene and washing towels and bedding.
The doctor will give you precise instructions on how to treat the wound.

When does the next doctor's appointment usually take place?

On the day of the procedure, your doctor will tell you when you should come back for the next check-up. In your own interest, you should absolutely keep this appointment.
If you get a fever or severe pain at home, you should contact your doctor immediately. Even if you are unsure and still have questions about the normal course of healing, in practice no one will be angry with you if you call for advice