Drainage in Abdominal Emergencies
نویسنده
چکیده
years having had a pretty large number of abdominal emergencies, I have been able to put my opinion into practice. I will take the subject of acute appendicitis as an example of abdominal emergencies and because it is the commonest. Before discussing drainage I would like to write a few lines on the incision. Where the case has been diagnosed early and where pus is not present in a localised abscess I always use the " gridiron" incision. This incision gives plenty of room for removal of the ordinary inflamed appendix. When I suspect many adhesions from previous attacks of appendicitis I use " Battle's" incision, i.e., an incision through the rectus sheath near its outer margin. The rectus muscle is pulled inwards and the posterior wall of the sheath opened. This incision gives more room than the "gridiron."
منابع مشابه
Internal Hernia Masquerading As Necrotizing Enterocolitis
In extremely preterm infants, acute abdominal emergencies are fortunately less common with improving care. Spontaneous intestinal perforation and necrotizing enterocolitis are conditions where emergency surgery is most often needed. Conservative medical management and placement of temporary drain are often used in the initial management. Internal hernia (IH) is an uncommon cause of bowel obstru...
متن کاملPERCUTANEOUS DRAINAGE OF ABDOMINAL ABSCESSES AND FLUID COLLECTIONS
This report summarizes the results of 64 percutaneous catheter drainage of abdominal abscesses and fluid collections in 56 patients. Aspiration and drainage was guided with computed tomography in 34 patients and with ultrasound in 30 patients. Success rate was 90%. Infected collections were successfully drained in 94% and noninfected collections in 72% . Partial success was achieved in two...
متن کاملAbdominal surgical emergencies in the puerperium.
Since surgical emergencies in the puerperium are rare, surgeons and obstetricians amass little experience of them. There may be considerable delay in making a diagnosis, firstly, because the abdominal symptoms are thought to be related to the pregnancy, and, secondly, because the signs are rarely convincing in contrast to the symptoms. Any of the common surgical emergencies may occur in pregnan...
متن کاملAn update on common gastrointestinal emergencies.
The evaluation of the child with acute abdominal pain often poses as a diagnostic challenge due to the wide range of diagnoses. Surgical emergencies need to be rapidly identified and managed appropriately to minimize morbidity and mortality. Presenting symptoms, clinical examination, and laboratory findings can guide selection of diagnostic imaging. This article reviews common surgical causes o...
متن کاملPlain abdominal radiographs in acute medical emergencies: an abused investigation?
Plain abdominal radiographs are commonly requested for acute medical emergencies on patients with non-specific abdominal symptoms and signs. In this study 131 plain abdominal radiographs performed on the day of admission were prospectively analysed. In only 16 cases (12%) the reasons for requests conformed to the recommended guidelines by the Royal College of Radiologists. The reason for the re...
متن کامل