Abdominal abscess incision and drainage

Abdominal abscess mainly refers to the abscess between the axilla, the intestine, and between the intestine and the abdominal wall. Intra-abdominal abscess is not improved after systemic anti-infective treatment, and the local inflammation range has an expanding trend, which should be used for incision and drainage. Treatment of diseases: abdominal abscess Indication Intra-abdominal abscess is not improved after systemic anti-infective treatment, and the local inflammation range has an expanding trend, which should be used for incision and drainage. Surgical procedure 1. Position: supine position. 2. Incision: The local inflammatory reaction is most obvious in the site where the abscess is located, or the abdominal incision is selected at the inflammatory mass. Cut the skin, subcutaneous tissue, and separate the muscle layer. This patient's intestine may adhere to the peritoneum, so special care should be taken when cutting the peritoneum to avoid damage to the intestine to form intestinal fistula. 3. Drainage: Cut the peritoneum, find the inflammatory mass, first fill it with a gauze pad, and protect it. Then, use a finger to bluntly separate into the abscess and separate the fibrous septum. Do not use a sharp knife such as a knife or scissors to separate the wall of the abscess to avoid damage to the nearby intestine. After draining the pus, place 1 or 2 cigarettes in the abscess to drain. If the incision is larger, it can be partially sutured. The oil gauze around the cigarette is drained.