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Drainage Of Pelvic Abcess (Colpotomy)treatment cost in Delhi| Drainage Of Pelvic Abcess (Colpotomy) treatment cost in India| Delhi| Mumbai| Gurgaon| Satyughealthcare.com
Surgery Name Cost Room Hospitalization
Colpotomy drainage of pelvic abscess Procedure Cost in India $1595 Single Patient - 1 days stay in a single room.
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Colpotomy drainage of pelvic abscess Procedure Cost in India

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What is Pelvic Abcess?

A pelvic abscess most commonly follows acute appendicitis, or gynaecological infections or procedures. It can also occur as a complication of Crohn's disease, diverticulitis or following abdominal surgery. An abscess contains infected pus or fluid, and is walled off by inflammatory tissue. A pelvic abscess may grow quite large before making a patient ill, or causing obvious signs, and so may be easily missed.

  • In males the abscess is usually located between the bladder and the rectum.
  • In females the abscess usually lies between the uterus and the posterior fornix of the vagina, and the rectum posteriorly.
  • A tubo-ovarian abscess is one type of pelvic abscess which is found in women of reproductive age, and may be a complication of pelvic inflammatory disease. In this case it is an inflammatory mass which involves the ovary and Fallopian tube.

 Causes

The abscesses are caused by bacteria reaching the upper genital tract. The bacteria often originates from a separate genital tract infection, such as pelvic inflammatory disease (PID), or from otherwise healthy bacteria from the lower genital tract that has travelled up past the cervix.

Symptoms

This type of abscess can be located near or inside the liver, pancreas, kidneys or other organs. There can be one or more abscesses. CT scan of the pelvis showing a large intra-abdominal mass.

You may have:

  • Swollen belly
  • Diarrhea
  • Fever or chills
  • Lack of appetite and possible weight loss
  • Nausea or vomiting
  • Weakness
  • Cough
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Treatment

Historically the treatment of pelvic abcess has been either laparotomy with lavage or blind surgical incision and drainage through the rectal or vaginal wall. Over time management has evolved from operative through percutaneous drainage into endoscopic ultrasound (EUS)-guided transrectal drainage.

Procedures used for drainage of the abscess include:

  • Ultrasound-guided aspiration and drainage: usually the abscess would be rectally drained in men, and in females it would be drained vaginally.
  • CT-guided aspiration and drainage. Percutaneous drainage often uses a trans-gluteal approach.
  • Endoscopic ultrasound-guided drainage (EUS-guided drainage). Evidence supporting this as an effective, minimally invasive option is growing.
  • Laparotomy or laparoscopy with drainage of abscess may be required in some cases.
  • An abscess which is enlarging suprapubically needs draining urgently.
  • In females the abscess is more difficult to diagnose if coils of bowel lie between the abscess and the posterior fornix and it may have to be drained suprapubically.
  • Abscess drainage with adjuvant thrombolytic treatment, such as tissue plasminogen activator (tPA), has been used to aid drainage.
  • Definitive surgery may be required after initial drainage for some causes of pelvic abscess, such as appendicectomy for abscesses due to appendicitis, or salpingo-oophorectomy for tubo-ovarian abscess.
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Frequently Asked Questions

The abscess drainage procedure itself is fairly simple: Your doctor makes an incision through the numbed skin over the abscess. Pus is drained out of the abscess pocket. After the pus has drained out, your doctor cleans out the pocket with a sterile saline solution.

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