Diagnosis and treatment of refractory pelvic abscess after rectal surgery:An analysis of 6 cases
Abstract：Objective To introduce a special kind of refractory pelvic abscess after rectal surgery and discuss its clinical characteristics and therapy. Methods The clinical characteristics, follow-up data and prognosis of 6 cases of refractory pelvic abscess admitted from October 2011 to February 2016 in Department of General Surgery, Beijing Chao Yang Hospital, Capital Medical University(5 cases)and Department of General Surgery,Beijing Luhe Hospital(1 case) were analyzed retrospectively. Results Four cases were cured by enterostomy and clearance of infection tissue in surgical operation. After the closing of intestinal stoma, 1 case of pelvic abscess relapsed and was performed reenterostomy and clearance but was unhealed. One case was under the treatment of debriding pelvic abscess through the rectal anastomotic leakage, but was unhealed. Conclusion In comparison with common pelvic abscess, the refractory pelvic abscess has such features as a long medical history, more complications, complex therapies, delayed healing and poor prognosis. During the rectal surgery, if no active bleeding happened, the hemostatic gauze or material should not be placed in the pelvic. And it’s the key point to prevent the kind of refractory pelvic abscess.
Keywords：rectal surgeryforeign material infectionpelvic abscess
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1073-1077 )