Incision and drainage of anterior extraperitoneal liver abscess

Applicable to the liver abscess corresponding to the VI segment in the front of the right lobe. Treatment of diseases: liver abscess amoebic liver abscess Indication 1. A bacterial liver abscess with a large abscess. 2. Amoebic liver abscess secondary infection or non-surgical treatment is invalid. 3. Hepatic cysticercosis secondary infection. Contraindications There are major diseases in the liver. 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 Take the incision under the right costal margin, cut the skin, subcutaneous tissue, muscles and fascia, directly to the extraperitoneal tissue, and bluntly separate with the fingers in the extraperitoneal direction. When there is resistance to separation, it is almost around the abscess. After the gauze pad is properly protected, the puncture is tested. After the pus is drawn, the hemostatic forceps is used to enlarge the incision, and the pus is sucked out. Then the finger is inserted into the septum to separate the septum. The cavity is built into the rubber tube and drained to the abdominal wall, and fixed by the wire. complication Proper care, no major complications after surgery.