Transrectal pelvic abscess incision and drainage

Use a scientific method to drain the pus. Treatment of diseases: pelvic abscess pelvic inflammatory mass Indication Pelvic abscess. Contraindications The age of the body is weak, the vital organs such as the heart and lungs are poor, and the surgery does not restore hope. 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, the buttocks as close as possible or slightly beyond the edge of the operating table. 2. Stay catheter: after the perineal and rectal mucosa 1:1000 Xinjieer liquid disinfection, place the catheter and empty the bladder. 3. Anal expansion: review and determine the location and extent of the rectal abscess, then use your fingers to expand the anus to relax the sphincter. 4. Abscess puncture: put into the anoscope, reveal the abscess on the anterior wall of the rectum, and use a long puncture needle to test the puncture in the bulge. After the pus is drawn, the puncture needle is left in the abscess for guidance, and the slotted probe is inserted into the abscess with the puncture needle, and then the needle is pulled out. 5. Incision: Use a sharp-edged knife to cut the anterior wall of the rectum along the slotted probe and drain the pus. Then use a curved hemostat to enlarge the incision, extend the finger into the fibrous septum in the abscess, and increase the abdominal pressure or press the abdomen to remove the pus. 6. Place the drainage: After draining the pus, put a cigarette in the abscess. complication Bladder injury.

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