One of the most common skin problems faced by most people are the formations of cysts and abscesses under the skin. While everyone suffers from the occasional pimple or blackhead, cysts are much more serious in that they are large and retain a large amount of fluid that can build up under the skin causing golf ball or even baseball sized lump of tissue and fluid. Infected Epidermoid Cyst (Incision and Drainage) You have an epidermoid cyst. This is a small, painless lump under your skin. An epidermoid cyst is often called an epidermal cyst, epidermal inclusion cyst, or incorrectly, a sebaceous cyst.
There are no absolute contraindications to the incision and drainage or removal of an infected sebaceous cyst. Caution is advised in those patients with bleeding disorders, taking anticoagulants, or with thrombocytopenia. Incision and drainage is preferred if the overlying skin is cellulitic. The capsule can be removed at a later time. Incision and drainage of hematomas, seromas, cysts or other pathologic fluid collections are covered when medically necessary due to pain, inflammation or infection. Paronychia is an acute or chronic inflammation of the periungual tissues, which may be associated .
Apr 29, · Incision and drainage of the sebaceous cyst is recommended only when the cyst becomes swollen due to the fluid build up. Lidocaine with epinephrine can be used for hemostasis to reduce the bleeding during the incision and drainage process. It is advisable to not inject anesthetics on the cyst to avoid rupture of the cyst.