Incision and drainage of anterior extraperitoneal subphrenic abscess

Applicable to the abscess of the right upper anterior space, the right lower liver, the left upper liver and the left lower anterior space. Treatment of diseases: abdominal abscess, underarm abscess Indication Applicable to the abscess of the right upper anterior space, the right lower liver, the left upper liver and the left lower anterior space. Surgical procedure 1. Position: supine position, quarter rib height. 2. Incision: Take a 2cm oblique incision under the costal margin, such as abscess on the left side to take the left inferior oblique incision, and abscess in the right side to take the right inferior oblique incision. The skin, subcutaneous tissue, rectus abdominis anterior sheath, rectus abdominis, transverse abdominis and transverse transverse fascia were excised layer by layer. If the abscess is close to the outside, it is not necessary to open the anterior rectus sheath and the rectus abdominis, but to cut the external oblique muscle, the internal oblique muscle, the transverse abdominis muscle and the transverse fascia. The peritoneum is revealed but not cut. 3. Drainage: According to the location of the abscess, use the index finger to separate the upper right or upper left between the peritoneum and the diaphragm, touch the wall of the abscess, puncture with a needle test, puncture the pus, cut the abscess along the puncture needle to the bottom of the abscess, release The pus is sent to culture for determination of drug susceptibility. Then use the index finger to extend into the abscess cavity to explore in all directions, estimate the depth and size of the abscess, and separate the fiber septum, smooth drainage. Then, a drainage strip is placed at the bottom of the abscess, and a long, short porous soft plastic tube is taken out of the body and properly fixed.

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