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Intra-abdominal fluid accumulation is a dangerous complication, common in acute pancreatitis. Peritoneal aspiration is applied in the drainage of outbreaks containing inflammatory substances, reducing intra-abdominal pressure, supporting the diagnosis and treatment. Drainage of lower abdominal fluid with enhanced X-ray is a real procedure to remove the fluid in the peritoneal cavity with the help of X-ray.
1. Drainage of lower abdominal fluid What is an enhanced X-ray?
Drainage of lower abdominal fluid with enhanced X-ray is an interventional technique in the treatment of intra-abdominal fluid accumulation, most commonly due to acute pancreatitis, due to secretions and fluid accumulation around the pancreas and in the abdomen. Abdominal. This is one of the common complications, especially when acute pancreatitis is necrotic. These clusters of fluid contain many substances that cause inflammation, destroy cells, and cytokines, which affect the effectiveness of treatment for acute pancreatitis. Therefore, one of the techniques that has been applied today in peritoneal aspiration is percutaneous drainage, which can be performed under ultrasound, computed tomography, enhanced X-ray or digital imaging. background eraser . In addition to acute pancreatitis, drainage is also applied in the treatment of ascites to reduce intra-abdominal pressure.
2. Indications and contraindications
2.1. Point
Intra-abdominal and retroperitoneal fluid accumulation due to acute pancreatitis Intra-abdominal fluid due to cirrhosis or systemic disease causing respiratory obstruction (difficulty breathing)
Bệnh nhân xơ gan gây dịch ổ bụng được chỉ định thực hiện
2.2. Contraindications
Coagulation disorder, prothrombin ratio < 70%, platelet count < 50 G/l Liver failure, renal failure, respiratory failure, severe circulatory failure (can be done in the ICU)
3. Drainage of the lower abdominal fluid How is the enhanced X-ray performed?
Before the procedure, the patient will be thoroughly explained about the procedure, besides, it is important to note that fasting and drinking 6 hours before. The patient can drink water but not more than 50ml. During the intervention, the patient is asked to lie on his or her back, side or stomach depending on the location of the drainage. Next, the technician will install a monitor to monitor breathing, pulse, blood pressure, electrocardiogram, SpO2. Then, disinfect the skin at the procedure area, cover with a sterile cloth with holes. In case the patient is too excited, can't lie still, he can be given a sedative ...
Sử dụng thuốc an thần khi bệnh nhân bị kích thích
3.1. Pre-intervention assessment
Assess the outbreak with ultrasound and/or computed tomography Determine the location, limits and nature of the outbreak Mark the expected location of the outbreak
3. 2. Reveal the entrance way
Wide disinfection of the needle puncture site Local anesthesia Small incision in the skin with a surgical blade Ultrasound can be used to select the most convenient and accurate access route: the path does not penetrate the vessels, the gastrointestinal tract
3.3. Approaching the abscess
Technician inserts a guide needle through the skin incision site, under the guidance of ultrasound, into the outbreak Injecting contrast agent into the outbreak to determine the status of the needle tip in the outbreak Withdrawal of fluid in the outbreak Through guide needle to insert the guide wire into the outbreak under bright X-ray control.
Tiếp cận ổ áp xe bằng cách dựa vào X-quang tăng sáng để đưa dây dẫn đường vào trong ổ dịch
3.4. Place drains
Use a cannula inserted into the outbreak along the guide line to widen the inlet, the size increases gradually depending on the diameter of the catheter intended to be placed Put a drain with many side holes (pigtail) into the outbreak according to the guide Determine the Pigtail drain with a surgical suture needle. In summary, under-abdominal drainage with enhanced X-ray is a technique to aspirate peritoneal fluid under the support of X-rays. This is a minimally invasive method, effectively draining the outbreaks containing inflammatory substances, cytotoxic substances, reducing the volume of intra-abdominal fluid, thereby helping to improve organ function, drainage. Necrotizing inflammation outbreaks avoid the spread of necrosis after surgery, limiting infection.
Drainage of lower abdominal fluid with enhanced X-ray is a technique that requires a high level of experience of the doctor and the perfect coordination of the patient. To achieve high diagnostic efficiency, patients need to choose reputable addresses with x-ray machines and modern and standard medical equipment.
Vinmec International General Hospital is a hospital with a full convergence of general and specialized doctors to perform, examine, operate, diagnose and treat diseases. In particular, at Vinmec, we also perform abdominal drainage techniques to treat many different diseases and bring optimal treatment results to customers.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline here for support.
