Sterile technique recommended, but not required
Cleanse skin overlying and surrounding abscess site with chlorhexidine or Iodine
Anesthetize skin of planned<unk>  site
Local anesthesia
Field block
Regional block
In some cases, procedural sedation may be indicated
Make a linear<unk>  (along skin tension lines) over the center of the abscess cavity
Advance depth until abscess cavity entered
Ensure<unk>  is large enough to accommodate<unk>  and introduction of forceps/hemostat
Manually express contents
Introduce hemostat and bluntly dissect to break up loculations
Packing with iodoform gauze may be performed (goal is to prevent premature wound closure), however evidence indicates that packing is not necessary.
Local anesthesia
Field block
Regional block
In some cases, procedural sedation may be indicated
Advance depth until abscess cavity entered
Ensure<unk>  is large enough to accommodate<unk>  and introduction of forceps/hemostat
Irrigation of abscess cavity has no benefit
Incise at most fluctuant area of abscess
Incise second location <4cm from original<unk> 
For larger abscesses can repeat this step thus creating several LOOPs.
Break-up loculations with hemostat
Irrigate wound
Pass hemostat through both<unk> s and pull penrose through
Tie penrose drain loosely over 30cc syringe to form LOOP
Patient can follow up with primary care provider or cut in 5-7 days
Retrospective study showed decreased failure rate in LOOP technique vs standard I&D. 
For larger abscesses can repeat this step thus creating several LOOPs.
Retrospective study showed decreased failure rate in LOOP technique vs standard I&D.
Incision and drainage
Negative pressure wound therapy
Laceration repair
Amoxicillin/Clavulanate
Imipenem/Cilastatin
Burn dressings
Penile amputation
Bacitracin