| 1 |
If
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
(Figure 12.11). |
|
| 2 |
Allow
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. |
| 3 |
If
no pus is obtained, the abscess may be higher than the
pouch of Douglas. A laparotomy will be required for peritoneal
lavage (washout). |
