Perirenal abscess incision and drainage

1. Peri-renal inflammation forms an abscess. 2. Peri-renal inflammation is not improved after non-surgical treatment, but there is a tendency to expand. Treatment of diseases: nephritis glomerulonephritis Indication 1. Peri-renal inflammation forms an abscess. 2. Peri-renal inflammation is not improved after non-surgical treatment, but there is a tendency to expand. Preoperative preparation Apply antibiotics to control inflammation. Surgical procedure 1. Incision: Generally, the incision through the 12th costal margin can be used, but the incision can be appropriately shortened because the kidney does not need to be completely exposed during the operation. 2. Exposing the perirenal fascia: separating the abdominal muscle fibers from the abdominal surgery, pulling back or partially cutting the latissimus dorsi, and cutting the deep muscles and fascia to reveal the fascia around the kidney. 3. Puncture and incision: puncture the peri-renal space with a thick needle. If the pus is extracted, the puncture needle can be cut open, and the finger is inserted into the peri-oral space for guidance. The surrounding fascia is fully cut and the abscess interval is separated. 4. Drainage: Insert a thicker rubber tube with a side hole at the end to drain the abscess, and place a cigarette on the upper and lower sides of the rubber tube. If the muscle separation is not large, do not need to suture; if the separation is large, the ends of the incision can be sutured, but not too tight.

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