Removal of boils surgeon: principles of therapy

Purulent-inflammatory diseases of the skin and subcutaneous tissues occur in two-thirds of the population. One of the most common types of pyoderma is the boil. In some cases, therapy of purulent disease requires surgical intervention, so treatment and removal of the boil is taken surgeon. In other cases, pyoderma is engaged in the dermatologist.

The content of the article

  • Features of the structure of the skin and its basic functions
  • The etiology of purulent-inflammatory diseases of the skin
  • Types of ulcers
  • Boil
  • Carbuncle
  • Hidradenitis
  • Folliculitis
  • Principles of therapy of pyoderma
  • Local treatment of inflammatory skin diseases
  • Folk remedies
  • Removal of the formation of a surgeon
  • The advice of doctors
  • Principles of prevention of suppurative-inflammatory diseases of the skin
  • Conclusion
  •  

    Features of the structure of the skin and its basic functions

    Skin is an important organ involved in the allocation function and regulation of the constancy of the internal environment of the body. Tactile analyzers, which provide tactile perception of external changes, take part in ensuring direct contact of the organism with the environment where the body is.

    Удаление фурункула хирургом: принципы терапии

    Skin has the following layers in its structure:

  • the epidermis – the top division consisting of the epithelium with several layers of cells in their structure;
  • dermis – consists of connective tissue fibers, cellular elements and amorphous substances;
  • subcutaneous fat has a dense grid of lymphatic and blood vessels, represented fat cells.
  • Also, the skin protects the internal elements of the body from damage and mechanical stress. In addition, the skin is involved in thermoregulation. This is done via the sweat glands located in the subcutaneous tissue.

    While maintaining optimal conditions through the skin enters a small amount of oxygen necessary for normal functioning of tissues. Along with this, the skin is able to prevent penetration of chemicals inside the body.

    The etiology of purulent-inflammatory diseases of the skin

    Pyoderma – purulent inflammation of the skin – are of bacterial origin. The development of such pathological conditions is due to the penetration and propagation of the following microorganisms:

  • staphylococci;
  • streptococci;
  • E. coli – rare;
  • Pseudomonas aeruginosa;
  • clostridia etc.
  • The penetration of causative agents of pyoderma possible in case of violation of the protective functions of the skin. This contributes to local or General low immunity, early viral or infectious diseases, the occurrence of mechanical damage such as scratching, scratching. Failure to observe the rules of personal hygiene and sanitary standards are also favorable factors for the development of the purulent diseases of the skin.

    Types of ulcers

    The difference of pyoderma is based on the depth of lesion, the severity of symptoms and the type of microorganism, the pathogen. Affected are separated superficial and deep pyo-inflammatory diseases, and on the nature of the flow – acute and chronic.

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    Boil

    This type of ulcer is characterized by penetration of the inflammatory process in the hair SAC and sebaceous gland. The boil appears on the background of a weakened immune system, skin related diseases, disorders of metabolism. The appearance of multiple ulcers is called furunculosis.

    The most common causative agent is considered to be Staphylococcus aureus. Penetration of pathological micro-organism causes the formation of an inflammatory infiltrate with further melting and the formation of purulent content.

    In the first days of the disease appears pustules – ulcers of small size. The skin around it is congested, edematous and painful. Palpation can detect the seal, sometimes movable. After some time on the surface of the boil appears purulent infiltration in the form of a cone.

    After the discharge of purulent content, the wound is filled with granulation tissue and covered with a top crust. After 2-3 days the crust falls away, there remains a small scar.

    Удаление фурункула хирургом: принципы терапии

    It is interesting to know! Even such, at first sight, trifling the disease can cause serious complications in the form of meningitis or sepsis.

    Carbuncle

    This kind of abscess is characterized by the development of purulent process in several hair bags and sebaceous glands nearby. Pyoderma begins with the formation of several installed at the same time. There is a local disturbance of microcirculation, the formation of thrombosis clots in the vessels of small caliber. In parallel, there is purulent fusion of tissues and the release of content to the surface.

    The main local symptoms of carbuncle:

  • soreness at the site of the pathological process;
  • swelling;
  • flushing of the skin;
  • the local increase in temperature.
  • In addition, patients complain of subfebrile temperature, weakness, malaise, headache, loss of appetite and other symptoms of intoxication. On the site of the carbuncle is formed of the «sieve» in the form of performances by a large number of purulent rods.

    Удаление фурункула хирургом: принципы терапии

    Hidradenitis

    View pyoderma, which is characterized by purulent inflammation of one or more sweat glands. Often occurs in the armpits, and sometimes inguinal or perianal region.

    There is a small knot in the skin, firm to the touch, moveable and painful. The skin over it red and hot. If the pathological process involved multiple sweat glands, nodules may coalesce, forming a conglomerate.

    Удаление фурункула хирургом: принципы терапии

    After 10 days education is opened on the surface of the skin leaves a certain amount of purulent content. After that, the site development of hidradenitis is a small scar.

    Folliculitis

    Pyoderma, which is characterized, is a purulent inflammation of the hair follicle. The causative agent is mainly Staphylococcus aureus. On the surface of the skin produces pustules in the center of which is hair. The skin around the infiltration a bit congested.

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    Удаление фурункула хирургом: принципы терапии

    After abatement of the inflammation process, on the surface formed a crust, which after a few days is no longer alone.

    Be aware! Frequent symptoms of purulent skin diseases, or deterioration should seek specialized help.

    Principles of therapy of pyoderma

    Treatment of ulcers depends on the extent of damage and the General condition of the patient. Used as conservative therapy and surgical intervention.

    Удаление фурункула хирургом: принципы терапии

    Local treatment includes the use of ointments and gels, treatment medications containing alcohol or other preservatives. With the development of chronic processes or signs of intoxication are assigned antibacterial drugs (penicillins, cephalosporins, macrolides), can be in combination with drugs sulfa series (sulfadimetoksin, sulfatsil, resultan).

    Detoxification therapy helps to improve circulation, reduce General symptoms of the disease. Used solutions ringer’s physiologic solution of sodium chloride, reopoligljukin.

    Удаление фурункула хирургом: принципы терапии

    If necessary, local anesthesia is novocaine blockade in combination with antibiotics. Vitamin therapy is the use of ascorbic acid and preparations of group B. After decrease first symptoms, use of conducting UHF-therapy, and ultraviolet irradiation.

    Local treatment of inflammatory skin diseases

    Therapy in the place of the pathological process consists in treating the skin around infiltrates alcohol-containing solution or a 5% solution of iodine. In addition, over the aseptic bandage is applied, to avoid the spread of the inflammatory process.

    Удаление фурункула хирургом: принципы терапии

    After opening the abscess, the wound was treated with hypertonic solution of sodium chloride or bandage with proteolytic enzymes. Discharge of purulent content allows you to use ointment dressings with chloramphenicol.

    Folk remedies

    There are some recipes to help reduce the appearance of pyoderma, to normalize the sebaceous and sweat glands and prevent the possibility of recurrence.

    Удаление фурункула хирургом: принципы терапии

    Important! Self-medication can be hazardous to health. Before using folk remedies should consult with doctors.

    Recipe No. 1. You should bake some bulbs, choosing those that have the most thick walls. The bow is tied to the place of formation of the ulcer at night. This will allow you to pull the contents out.

    Recipe №2. A few leaves of plantain rinse, dry and mash. The resulting mass apply to the pathological process. By morning the contents should come out.

    Recipe No. 3. A cotton ball should be wet in alcohol or plain water. Next, pour on it a large amount of salt and RUB the place where the boil. Salt from the skin and I can’t shake and don’t wipe.

    Recipe No. 4. Several times a day to lubricate the skin camphor oil. The next day, symptoms of inflammation diminish, and the pain will disappear.

    Removal of the formation of a surgeon

    In cases where conservative treatment does not provide results, the surgeon conducts an autopsy of abscess. Surgical procedure after local anesthesia, is performed on the principle of procaine blockade.

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    Using special tumour, at a distance of 2 cm from the pathologic infiltrate, through a needle injected novocaine solution with antibacterial drugs. You should pay attention to during anesthesia, the needle had contact with the infected unit.

    The incision on the skin is carried out radially from the Central core of pus on either side. Using accessed content removed boil. Next, using tweezers or hemostat is removed the primary necrotic core. The formed cavity was washed with hydrogen peroxide and injected into her pre-prepared glove drainage, so the rest of the content immediately out of the wound.

    Place of intervention covered with napkins, treated hypertonic solution of sodium chloride. The skin incision is not sutured. The next day the inspection cavity. It has been washed, change the drainage. Top – to- dry dressing.

    Important! Independent intervention in the form of squeezing of the content or removing the peel is strictly prohibited!

    The advice of doctors

    During the initial appearance of pyoderma it is necessary to consult with a dermatologist to differentiate the diagnosis.

    During the progression of the disease it is impossible to take a bath and swim in water in order to avoid the generalization process and the possible infection of others.

    The affected area should be treated regularly with a antiseptic medicines. You need to find out exactly the cause of the disease to the prevention of chronic process.

    Principles of prevention of suppurative-inflammatory diseases of the skin

    The main points to prevent the development of pyoderma are:

    1. Immune support, especially during periods of seasonal deficiency of vitamins and minerals, as well as after the exhaustion of infectious or other serious diseases.
    2. Proper nutrition, balanced diet.
    3. Full physical activity for people who lead a sedentary lifestyle.
    4. Personal hygiene and sanitary norms in the place of residence, work and leisure.
    5. Timely disinfection of mechanical damage of the skin.
    6. Treatment of chronic diseases, which are the «gatekeepers» of pathogenic microorganisms in the body.

    Conclusion

    Favorable prognosis in skin purulent-inflammatory diseases at the time begun treatment, elimination of the etiological factors in maintaining the General condition of the body, as well as compliance with all preventive measures.

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