Incision and drainage (I and D) is a widely used procedure in various care settings including emergency departments and outpatient clinics. It is the primary treatment for skin and soft tissue abscesses, with or without adjunctive antibiotic therapy. This activity reviews the incision and drainage procedure, risks and benefits.
The incision and drainage of an abscess is a quick, primary operative intervention to treat an abscess [ 1 ]. Superficial abscesses form a significant portion of surgical emergencies and ideally, same-day incision and drainage should be provided [ 2 ].
Typically I&D is well tolerated with pain being the most common complication. Inadequately drained abscesses can lead to the extension of the infection into adjacent tissues and worsening of clinical status. As stated, incision and drainage is a common procedure in a variety of care settings.
Superficial abscesses form a significant portion of surgical emergencies and ideally, same-day incision and drainage should be provided [ 2 ]. However, unless complicated, they are often considered a low-priority emergency procedure often leading to delays in treatment required to alleviate symptoms [ 1, 3 ].