Attempting to do so without anesthesia results in an uncooperative patient, reduces the likelihood of successful drainage, and is unconscionable. Conscious sedation is often required and may be desirable. Word catheter placement First described in 1952, the technique was modified by Word in 1964. Place a small catheter in the abscess cavity through a stab incision in mucosa. This allows for drainage and fistula formation when left in place for several weeks.
Simplicity is the technique's main advantage.
It is quite tolerable to patients and allows restoration of gland function. This procedure consists of a wide incision of the mass followed by suturing the inner edge of the incision to external mucosa. This technique consists of traditional wide incision and packing. Incision and drainage is more painful than Word catheter placement and requires multiple packing changes. This procedure consists of a wide excision of the gland and surrounding tissue.