Incision

The section is a surgical procedure, consisting in the dissection of the skin or mucosa), and underlying tissues. Cut - the first stage of any bloody surgical operation to access the body, cavity etc., the Cut can also be used as an independent operation, mainly septic processes: to create drainage of pus (for example, when the abscess) or reduce inflammatory voltage tissues (laxative section).
Sometimes the incision is made with the aim of limiting the spread of the fiber (barrier structure), for example, when anaerobic infections, subcutaneous emphysema.
For a number of operations designed typical sections (for example, when introducing diseases brush, appendectomy and others). All types of incisions are made in compliance with the rules of aseptics and antiseptics.
The incision to open superficial ulcers simple surgical intervention is manufactured in a polyclinic.
To make the incision should thus to provide free outflow of pus from wounds; sometimes for this purpose make additional cuts - contraditory (see), taking into account areas of skin lines. This section can be done under local anesthesia 0.25% solution novokaina or under the shallow brief anesthesia (for example, nitrous oxide).
After processing and separation of the operating field in layers make a cut, strictly taking into account the topography of the underlying blood vessels and nerves. At a more superficial abscesses pre-trial produce puncture (see), and then in the direction introduced in purulent cavity needles make the cut.
For the production of cut need the following tools: scalpels and tweezers (anatomical and surgical), scissors, clamps, korangi, hooks, syringes, needle, bandages, etc and drainage material (see Surgical instruments).
Cm. also surgery.

The cut - division of the skin and underlying soft tissues of the cutting tool or electrocautery. The incision is used as the initial moment of the first stage (access) any bloody surgery (see) as a separate surgical intervention used, abscess, phlegmon, etc. for opening and emptying of purulent cavities and for reducing tension inflamed tissues.
With limited purulent process type abscess (see) indication for the section is the appearance fluctuations and slit usually wait until available inflammatory infiltrate will not be softened. In the diffuse lesions type phlegmon (see) no plots softening and fluctuations does not justify the delay of the intervention, as delaying it threatens further spread purulent-necrotic changes, and sometimes generalization of infection. Dissection inflamed tissues (laxative structure) has a curative effect in the absence of visible eye accumulations of pus. Early production cut is especially important in the processes caused by infection anaerobic infection (gas cellulitis, malignant swelling and others).
Symptoms characteristic of abscesses or cellulitis, may be associated with suppuration unrecognized traumatic aneurysm. In this case, the production of cut will be the gravest and most dangerous error. To avoid it when ulcers and inflammatory infiltrates, formed in circumference unhealed wounds (especially firearms) near the left after her scar or in the course available wound channel, the incision can be made only when no aneurysm (to check the pulse on the periphery of the limbs, auscultate inflammatory swelling, to make trial puncture).
The incision should be done under anaesthesia. In subcutaneous abscesses and phlegmon of sufficient short anaesthesia nitrous oxide, and lack of it - Rausch-anesthesia-chloroethyl or ether. If purulent lesion is deeply and longer anesthesia, chloroethyl shall not be in. At a superficial ulcers in the mouth, mouth, vagina enough to cut anesthesia gives lubricating mucous membrane solution dikaina (1-2%) or cocaine (10%). The incision on the fingers are often produced under regional anesthesia (see Felon). Freezing-chloroethyl have flatly rejected; pain is always insufficient, and the resistance Ledeneva hard skin makes an incision particularly painful. When a skin, obviously fluktuiruyushchimi abscesses incision often produce pointed scalpel. His work in purulent cavity at the edge of it, and then in one swift movement from the depths to the surface and reveal himself cavity all over. This method provides very fast operation. When cut in areas where too deep vCal scalpel dangerous (for example, in the shed), the blade tool wrapped with cotton wool, exposing only a small (1-2 cm), the end part of it.
Deep and large over the cuts and incisions neraspavshemsya infiltrates do blusistem scalpel, layer by layer. An incision is performed through the center of the inflammatory infiltrate, and at the same plot of softening - through its middle, usually in the direction of skin dangerously lines, but sometimes it is perpendicular to it (if you want to provide a wide skin wound dehiscence). With deep ulcers and phlegmon cuts are on the go muscle bundles, taking into account the position and direction of blood vessels and nerves that area. The length of the cut when the abscess should correspond to the diameter of purulent cavities, and when the abscess - both ends to enter into a viable bleeding tissue. With extensive phlegmon (especially anaerobic) requires multiple sections. For best emptying penetrated deep abscess is sometimes necessary to add a second incision - contrapartida. The surgery is completed by introduction into the wound of antibiotics, it tamponade or drainage and subsequent treatment, as with an infected wound, which is in the stage of infection (see the Wound, injury). After a complete cleansing of wounds and good development of granulations are moving to a protective bandage or impose secondary seam.