Transabdominal incision and drainage

The abscess is superficial, can be touched on the pubic bone or the rectal examination is not easy to clear the position of the abscess, or when exploration is required, drainage through this route should be considered. Treatment of diseases: pelvic abscess retroperitoneal abscess Indication The abscess is superficial, can be touched on the pubic bone or the rectal examination is not easy to clear the position of the abscess, or when exploration is required, drainage through this route should be considered. Contraindications The patient is too old and should be filled with poor general condition. Preoperative preparation 1. Full support for treatment: a small amount, multiple blood transfusions, fluid replacement, correction of water and electricity balance disorders and hypoproteinemia. 2. Anti-infective treatment: According to the determination of bacterial sensitivity, the pathogenic strain is estimated, sensitive antibiotics are selected or combined with broad-spectrum antibiotics. 3. Positioning: In order to further confirm the diagnosis and determine the surgical approach, the abscess can be determined according to physical signs, ultrasound, X-ray or liver abscess test puncture. Generally, tenderness, edema of the lower chest wall, and tenderness of the intercostal space are often abscesses. Surgical procedure In the supine position, a median longitudinal incision is made on the pubic bone, which is about 5cm to 7cm long. After cutting the abdominal wall, you should first find the bladder or uterus, push it forward and downward, and protect the pelvis with gauze. During the exploration, the anterior wall of the rectum is descended to the rectum bladder (or uterus) concave, and the vascular clamp is used to separate the wall of the abscess, that is, the pus flows out, the pus is sucked, and 1 or 2 cigarettes are drained or the soft hose is placed. The bottom of the abscess is drained by the incision. complication peritonitis.