Drainage Liver Abcess

Drainage of Abscess (ES) in
the Region of the Liver

Objective

To provide exit for purulent material within a confined space in or around the liver.

Position

Supine or lateral.

Anesthesia

General.

Procedure

1.  An incision posteriorly along the twelfth rib extraperitoneally.

2.  Or anteriorly, either extraperitoneally or transperitoneally.

3.  The abscess is identified and cultures are taken.

4.  The abscess is evacuated and may be irrigated with an antibiotic solution.

5.  Drains are placed.

6.  The wound is closed in layers.

Instruments

•   General set

•   Deep instruments set

•   Biliary tract set

•   Harrington retractor (Fig. 9.26).

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