Cover Image
close this bookMinor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.)
View the document(introduction...)
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close this folderChapter 1: Wounds - Burns
View the documentDressings
View the documentWounds
View the documentBurns
close this folderChapter 2: Infection of soft tissues
View the documentAbscess
View the documentTreatment of tropical myositis
View the documentInfections of the hand and fingers
close this folderChapter 3: Catheterisation and drainage
View the documentCatheterisation of large veins
View the documentLumbar puncture
View the documentPleural puncture
View the documentThoracic drainage
View the documentPericardial puncture
View the documentDrainage of ascites and intra-peritoneal perfusion
View the documentPuncture and drainage of the knee
close this folderChapter 4: ent procedures
View the documentEpistaxis
View the documentEar drainage
View the documentDental extraction
close this folderChapter 5: uro-genital procedures
View the documentUrinary catheterisation
View the documentReduction of a paraphymosis
View the documentEpisiotomy
View the documentSuturing episiotomies or perineal tears
View the documentIntra-uterine procedures
View the documentTreatment of a bartholin abscess
close this folderChapter 6: treatment of trauma
View the documentFractures and disIocations: the basics
View the documentShoulder and arm trauma
View the documentTrauma of the lower limb
View the documentPeriod of immobilization for major fractures
close this folderAppendix
View the documentList of essential supplies (absolutely necessary)
View the documentDisinfection and Sterilization of medical equipment and supplies
View the documentBibliography

Drainage of ascites and intra-peritoneal perfusion

· Drainage of fluid in the peritoneum ection of intra-peritoneal perfusion

Indications

· Drainage of ascitic fluid is indicated principally for diagnostic purposes or when respiration is impaired. Drain slowly. Attach a drainage tube and container to the trochar, do not remove more than 1 liter per episode.

· Intra - peritoneal perfusion: indicated when there is difficult access to a vein, to avoid loosing time while waiting for venous access, for example in children with acute dehydration. Do not perfuse more than 70 ml/kg, perfuse slowly and use only sodium chloride or ringer lactate.

Material

Large trocar or short large bore catheter (18 G for exemple).

Technique

Figure 66

· Rigorous asepsis: clean the abdomen with polyvidone iodine (see table page 7).

· Single puncture, perpendicular to the abdomen, on a line joining the umbilicus and the anterior superior iliac spine, usually on the left, to avoid perforation of the cecum; on the right in the case of massive splenomegaly.


FIGURE