What is Subphrenic Abscess Surgery?
The abscess is a pool of half a pint (250ml) or more of liquid pus. It makes you feel ill and feverish. If left, it can get worse, cause serious problems and even, rarely, threaten your life.
Commonly these abscesses only show up two or more weeks after the infection. Also they often need to be left even longer than this before they are ‘ripe’ enough to be opened up and drained safely.
The abscess can form high up under the ribs, or deep down in the pelvis, or anywhere in between. Sometimes there are more than one.
How Subphrenic Abscess Surgery is done in India?
You will have a general anaesthetic, and will be asleep for the whole Subphrenic Abscess Surgery in India.
A cut about 3 inches long (8cm) is made in the skin of the tummy as near as possible to the abscess. The cut is deepened until the surgeon reaches the abscess. The pus then drains out to the skin.
The surgeon will also wash out the area of the abscess with a lot of fluid. This fluid sometimes contains medicines, such as antibiotics, to prevent further problems with infection.
A rubber drainage tube is put down into the abscess space to drain out any further pus. This tube stays in place until it is clear from X-ray tests that the abscess space is getting smaller. The tube can then be shortened, bit by bit. Finally the wound dries up and heals over.
Any alternatives for Subphrenic Abscess Surgery in India?
If you leave things as they are, the abscess may drain out through your skin after many days. You may become very ill and weakened during this waiting time and if left untreated could result in death. Sometimes the abscess drains into the lung or spreads around inside your tummy. These can be very serious for you.
Antibiotics have not done the trick in your case. Draining the abscess is all that should be done at this stage. If there is an underlying disease, this may be done at a later date.
In some cases the drainage tube can be placed in the abscess without an operation. A small area of the skin on top of the abscess is numbed with an injection of anaesthetic (like when you go to the dentist) and a very small (1/2 inch/ 1.3cm) cut is made in this area.
Via the small cut and with the help of special X-rays, the drainage tube will be put into your abdomen and directed into the abscess to allow it to drain through the skin.
Although this procedure is obviously simpler compared to an operation, it is not always successful and it doesn’t work in situations like yours where the liquid pus in the abscess is very thick and therefore doesn’t drain freely through the drainage tube.
Before the Subphrenic Abscess Surgery in India
You may well be in hospital already, so some of the notes below are only for new comers.
Stop smoking and get your weight down if you are overweight. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital’s advice about taking the Pill or hormone replacement therapy (HRT).
Check you have a relative or friend who can come with you to hospital, take you home, and look after you for the first week after the operation.
You will have the operation explained to you and will be asked to fill in an operation consent form. Before you sign the consent form, make sure that you fully understand all the information that was given to you regarding your health problems, the possible and proposed treatments and any potential risks. Feel free to ask more questions if things are not entirely clear.
Post Subphrenic Abscess Surgery in India – in hospital
You will have a drip tube in an arm vein connected to a plastic bag on a stand, containing a salt solution or blood. You may have a fine plastic tube coming out of your nose and connected to another plastic bag to drain your stomach. This is to decompress your stomach which, along with the bowel, may feel a bit sluggish after an operation.
Swallowing may be a little uncomfortable. You will have a rubber drainage tube coming out of your wound. The tube is connected to a plastic bag. There is a dressing on the wound. You may be given oxygen from a face mask for a few hours if you have had any chest problems in the past. The wound is a little painful.
Post Subphrenic Abscess Surgery in India – at home
You are likely to feel very tired and need rest for a month or more. It may be one to two months before you are back to your normal strength. You can build up your walking by an extra 50 yards each day.
At first discomfort in the wound will prevent you from harming yourself by lifting things that are too heavy. After two months, you can lift as much as you could before you had the operation. There is no value in trying to speed the recovery of the wound by special exercises before the months are out. You can drive as soon as you can make an emergency stop without discomfort in the wound, ie after about three weeks. You can restart sexual relations after three weeks when the wound is comfortable enough. You should be able to go back to a light job after about one month. It may be two months or more before you can return to a heavy job.
Possible complications post Subphrenic Abscess Surgery in India
Complications can happen because of the original infection and the anaesthetic itself. There is also the chance that other abscesses may have formed, or will be found once the original abscess is drained. The surgeon will talk to you about any procedures before they are done. In most cases the abscess will eventually heal up and there will be a very small chance that you might need another operation to drain what is left of the original abscess, or any new ones. You need to bear in mind that a second operation will have a higher chance of complications following an initial attempt to drain the abscess. Every effort will be made to ensure that you are properly prepared and to reduce any further risks.
Aches and twinges may be felt in the wound for up to six months.
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