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Percutaneous Drainage vs. Open Irrigation and Debridement
Percutaneous Drainage vs. Open Irrigation and Debridement
This stock medical exhibit is divided into two sections allowing us to compare the percutaneous drainage procedures that were actually performed in this case with the open treatment that was later suggested would have been more effective for this individual. The first half of the exhibit features two anterior views of the left thigh with the region of the abscess shown transparently beneath the skin. The first image shows a small catheter inserted through the skin and the withdrawal of fluid from the abscess via a syringe attached to the catheter. The second image illustrates the subsequent condition with a drainage catheter left in place, clearly showing that only approximately half of the abscess fluid has been removed with substantial pockets of abscess remaining within the musculature of the thigh. The second half of the exhibit illustrates an open irrigation and debridement procedure. The first image shows the lateral thigh opened through two small incisions extending down into the vastus lateralis muscle allowing large amounts of purulent fluid to be removed via suction. The second image shows the abscess bed being cleansed with copious amounts of saline. A third image shows devitalized tissue being but away form within the wound bed and the final image depicts a penrose drain in place to prevent fluid buildup in the wound.
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