Fluid collections detected by ultrasound following uncomplicated colorectal surgery.

Abstract

The aim of the study was to assess the incidence and site of intraperitoneal fluid collections following uncomplicated colorectal surgery and to identify factors relating to the presence of such collections. 38 patients (22 males) with a mean age of 67 years (range 38-85 years) undergoing uncomplicated colorectal procedures were studied prospectively. Patients underwent abdominal and pelvic ultrasound on Day 3 and Day 7 following surgery. The number, site and volume of collections were recorded. Ultrasound-detected fluid collections were present in 26% on Day 3 and 25% on Day 7 following laparotomy. The presence of a collection was not related to the amount of residual volume after peritoneal lavage with normal saline prior to operative closure, to intraoperative blood loss or to the presence of drains. The right upper quadrant was the commonest site of intraperitoneal collections. In the absence of additional clinical signs, the presence of such collections is not an indication for intervention.

Protection of intestinal anastomosis with biological glues: an experimental randomized controlled trial

“…The leakage rate varies considerably between published reports, ranging from 3 to 23% [1][2][3][4][5][6][7][8][9][10] depending on patient selection, the surgeon's skill or workload, the level of the anastomosis, and the timing of surgery, emergency or elective.…”

Sterile Seroma After Surgical Drainage of Purulent Psoas Abscess in Crohnʼs Disease

“…Postoperative fluid collections in the abdomen and pelvis have been described after colorectal surgery, including ileal pouch-anal anastomosis. [6][7][8] However, this is the first report, to our knowledge, of a sterile seroma developing after surgical drainage of a psoas abscess in CD. We speculate that the seroma developed as a result of surgical lymphadenectomy with fluid accumulating in the dead space remaining in the psoas muscle after drainage of the chronic walledoff abscess.…”

Large-volume late-onset pelvic fluid collection after ileal pouch-anal anastomosis

“…Postoperative pelvic fluid collection has been reported following other abdominal and pelvic surgeries, such as cesarean section, hysterectomy, 2-4 and partial colectomy and anastomosis. 5 The mechanisms of pelvic fluid collection are not clear. It is important to distinguish pelvic fluid collection from pelvic abscess, surgical anastomotic leaks, active fistulizing CD, and ovarian entrapment.…”