pus is obtained on culdocentesis, keep the needle in
place and make a stab incision at the site of the puncture.
Remove the needle and insert blunt forceps or a finger
through the incision to break loculi in the abscess cavity
the pus to drain. Insert a high-level disinfected soft
rubber corrugated drain through the incision; if required,
use a stitch through the drain to anchor it in the vagina.
Remove the drain when there is no more drainage of pus.
no pus is obtained, the abscess may be higher than the
pouch of Douglas. A laparotomy will be required for peritoneal