What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

What is a liver abscess puncture? What are the indications, contraindications, complications, postoperative care, and postoperative diet of liver abscess puncture?

Liver abscess is a hepatic suppurative lesion caused by a variety of microorganisms such as bacteria or amoeba, and is often guided by B-ultrasound or CT-guided percutaneous transhepatic abscess lesions and drained into the drainage tube.

Anesthesia and preoperative preparation

1. Anesthesia
Local infiltration anesthesia.
2. Preoperative preparation

• Check blood routine, platelet, and prothrombin time.
• Fasting for 8 to 12 hours before surgery, if the abdominal flatulence is obvious, you can take the anti-swelling medicine or clean the enema beforehand.

Indication

1. Clinically suspected liver abscess, and ultrasound showed intrahepatic hypoechoic or mixed echo lesions, need to be clearly diagnosed.
2. Larger single liver abscess, ultrasound guided by thick needle aspiration or catheter drainage.
3. For multiple liver abscesses, you can puncture 2 to 3 lesions at a time, or you can use multiple drainage tubes or tube drainage in a batch.

What is liver abscess incision and drainage? What are the complications, postoperative care, anesthesia, and preoperative preparation for hepatic abscess incision and drainage?

What is liver abscess incision and drainage? What are the complications, postoperative care, anesthesia, and preoperative preparation for hepatic abscess incision and drainage?

What is liver abscess incision and drainage? What are the complications, postoperative care, anesthesia, and preoperative preparation for hepatic abscess incision and drainage?

There are two common methods for incision and drainage of hepatic abscess. One is transabdominal incision and drainage, which can avoid contamination of the abdominal cavity. It is only suitable for isolated abscess or liver abscess and adhesion to the abdominal cavity near the liver surface. Incision restriction is revealed, and other abscesses or intra-abdominal infection sources in the liver are easily missed and are currently used less. The other is transabdominal abscess incision and drainage. Since the clinical application of antibiotics, this method has replaced the extraperitoneal route. Usually under the costal margin or median incision into the abdomen and drainage of liver abscess, can simultaneously treat other lesions in the liver and intra-abdominal infection.

Anesthesia and preoperative preparation

1. Anesthesia
General anesthesia plus continuous epidural anesthesia.