RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187824839
T1 Incision and Drainage of Infections of the Hand
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187824839
RD 2023/03/30
AB Although  definitive  indications  for  incision  and  drainage  of  infections  of  the  hand  vary  with  the  location,  duration,  extent,  and  severity  of  the  infection,  most  localized  infections  warrant  incision  and  drainage  or  operative  debridement.  Particular  attention  must  be  paid  to  patients  with  immunocompromised  conditions  that  might  mask  an  adequate  inflammatory  response  and  delay  diagnosis  and  treatment  (e.g.,  an  elderly  diabetic  presenting  with  a  felon).  Most  infections  arising  on  the  volar  surface  of  the  hand  produce  maximal  swelling  on  the  dorsum,  but  dorsal  drainage  is  used  only  when  suppuration  presents  on  the  dorsum.  If  necrotizing  fasciitis  is  suspected,  either  streptococcal  or  polymicrobial,  emergent  and  aggressive  operative  debridement  is  warranted.