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13 Ekim 2010 Çarşamba

What is abdominal Paracentesis?


What is abdominal paracentesis?
Diagnosis and / or therapeutic purposes, a special fluid in the abdomen with a needle entering the abdominal wall to obtain sample-fluid evacuation process is called abdominal paracentesis.

Cause abdominal paracentesis is needed?
Normally, in the abdomen, around the abdominal organs in the membrane (peritoneum) and the restricted area is located in a very small amount of liquid. Infectious diseases, benign or malignant tumors, appendicitis, cirrhosis, pancreas, kidney and heart diseases, diseases such as the collection of fluid in the abdomen (acid) may result. Bladder, stomach, intestines, and especially the appendix in the abdomen pierced or liquids in them the distance sızdığında peritonitis (peritonitis) develops. Peritoneal dialysis may also cause peritonitis.
In the abdomen, the abdominal membrane, inflammation develops fever, abdominal pain and vomiting can be symptoms such as. Inflammation in the abdomen causing germs to spread to other organs via blood circulation or neighborhood risk are also available. This situation can create life-threatening cases. Is more than the accumulated fluid in the abdomen, fluid in the abdomen with a needle out to be collected, by reducing intra-abdominal pressure will help to relieve abdominal pain and children to resolve. Abdominal paracentesis is also examined in the laboratory from the liquid, causing the collection of fluid in the abdomen konulmasına disease diagnosis and detection of the presence of purulent fluid in the abdomen may help. Germs is possible to define the culture. Produced in liquid culture of bacteria, germs used antibiotics are effective, this is not understandable.

Abdominal paracentesis How?
Abdominal paracentesis is a procedure usually lasts 15-30 minutes. The patient or the doctor's examining table in supine position is often considered appropriate in the right or left side of the right
lies. Abdominal paracentesis done in the region deleted from the skin with an antiseptic solution, sterile cloth to clean the area with the hole covered over. A needle through the skin of the area as a regional uyuşturulur be made of the transaction. Special accumulated fluid in the abdomen with a needle entering the sample is taken from the abdominal wall or the liquid is drained. Paracentesis done using ultrasound is preferred. Absolutely motionless during the procedure the patient should stop. Infants and young children may need to be kept in a proper position by medical personnel. Determined from the collected fluid in the abdomen after the needle is removed. The patient, a sense of pity and a slight needle during local anesthesia with mild pain and pressure you feel when entering. Paracentesis is planned evacuation of the liquid may take time.
Your doctor can learn about the details of the method of abdominal paracentesis.

What happens after abdominal paracentesis?
Abdominal paracentesis is made after the initiative on the skin where pressure is applied for 2-3 minutes with sterile gauze, bleeding and leakage control is done. This place is closed with sterile gauze and pasted on the plaster. Tape must be removed no later than 24 hours later.
Excess amounts of fluid may decrease blood pressure and dizziness, the patient may be discharged. Do not lift up the patient after the procedure, your doctor interview, yürütmeyin and do not leave the hospital. Excess amounts of fluid 1-2 hours observation of the patient must be emptied.
After the procedure can be pain sometimes needle intruded everywhere, in this case, the patient may need to be given a drug painkillers such as paracetamol orally. Aspirin should not be used could make a bleeding tendency.

Is there a risk of abdominal paracentesis?
Abdominal paracentesis procedure, albeit low probability, may have some risks.
Sometimes the liquid can not be obtained by abdominal paracentesis and initiatives need to be repeated.
Rarely, prolonged bleeding from intervention or from within the abdomen can leak fluid. Very rarely venture over the rash, the temperature increase and the infection can be manifested by pain. These conditions can be treated appropriately. After leaving the hospital can draw attention to deal with the situation immediately tell your doctor to call.
Abdominal paracentesis is a very low probability during the bowel, bladder wall, or a vessel rupture in the abdomen. These undesirable consequences if not treated properly the patient may be lost. Emergency treatment will be found to such an undesirable situation.
Essentially a collection of fluid in the abdomen may continue until the disease is corrected. Therefore, abdominal paracentesis may be needed again.

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