Transvaginal pelvic abscess incision and drainage

Applicable to married women rectal palpation mass is not significant and then prominent prominent. Treatment of diseases: congenital anorectal stenosis, rectal foreign body, rectal injury Indication The rectal palpation mass of married women is not significant and then the hernia is prominent. Contraindications Postpartum, pregnant, menstrual women should avoid drainage through this route. Preoperative preparation 1. Improve the low slag diet 1 to 2 days before surgery. 2. On the eve of the operation, the bowel was laxative, and the enema was cleaned on the morning of the operation. 3. Urination before surgery. Surgical procedure 1. Position: The position of the stone. 2. Disinfection, indwelling catheterization: Wash the vagina thoroughly, disinfect the perineum with 1:1000 Neubril, and place the catheter. The vagina was opened with a vaginal dilator, and the vagina was disinfected with 1:1000 neger; then the cervical posterior lip was lifted up with a cervical forceps to perform a puncture. 3. Puncture: Puncture with a long needle in the posterior malleolus. After the pus is drawn, the needle is retained and the slotted probe is inserted into the abscess along the puncture needle. 4. Incision: Pull out the needle and use a sharp-edged knife to cut the abscess along the probe slot. Use a vascular clamp or finger to probe into the incision to enlarge the wound, separate the fibrous septum, and release the pus. 5. Place drainage: According to the size of the abscess, put 1 or 2 cigarettes to drain, and take it out from the vagina. complication Pelvic abscess is often secondary to acute pelvic inflammation. When an abscess is formed, the patient usually has fever, and the lower abdomen pain is refused. The mass of the fallopian tube empyema, ovarian empyema, and fallopian tube ovarian abscess is generally higher. On the one or both sides of the uterus, a mass with a sense of fluctuating and tenderness is touched during gynecological examination. The pelvic abscess caused by acute peritonitis and acute pelvic connective tissue inflammation has a low position, and the mass is touched in the uterine rectum depression, which is inactive and tender.