The Douglas pouch is a bag-shaped extension of the peritoneum in the pelvic cavity. An abscess is the focus of purulent inflammation, which is often a complication after surgery. Less often, the infection may spread here from the adjacent inflamed organs. You can opt to undergo your treatment of Douglas pouch abscess in Germany and expect good results. You are welcome to use the Booking Health service to find out the cost of treatment in Germany and schedule an appointment for your treatment in Germany at the best price. This is a country with a high level of medicine where you will receive quality care.
Content
- Treatment options for Douglas pouch abscesses
- Where to undergo treatment for your Douglas pouch abscess?
Treatment options for Douglas pouch abscesses
In medicine, Douglas pouch abscess treatment can be surgical or conservative. Conservative treatment is prescribed at the stage of infiltration. Patients receive antibiotics. In many cases, it is possible to achieve resorption of the Douglas pouch abscess without any surgery.
Conservative therapy for Douglas pouch abscesses
The optimal candidates for conservative treatment of the disease are considered patients:
- who are hemodynamically stable;
- who do not have any sepsis;
- who do not have any signs of a ruptured abscess;
- who have a formation no larger than 8 cm.
Doctors usually prescribe two antibiotics at once. The first is against aerobes, and the second is against anaerobes. This is due to the fact that, after detecting a Douglas pouch abscess, it is impossible to understand what bacteria it is caused by. Typically, these are aminoglycosides, cephalosporins, or penicillins in combination with clindamycin or metronidazole.
In the first 1-2 days, antibiotics are administered intravenously. If the fever disappears, doctors switch to oral administration. The optimal duration of antibiotic therapy has not been established, so in each case, a physician decides whether to discontinue the drugs individually.
Surgical treatment for Douglas pouch abscesses
Surgery has advantages in efficiency compared to antibiotic therapy. A surgical procedure reduces the length of a hospital stay and lowers the risk of infertility in women.
Surgery becomes a first-choice treatment option for many patients. The operation is performed against the background of antibiotic therapy. If a conservative tactic is chosen, a quarter of patients will still need surgery due to the insufficient effectiveness of antibiotics. The operation is performed if:
- treatment does not give any effect within 2-3 days (fever, leukocytosis, and abdominal muscle tension persist);
- the size of the abscess is more than 8 cm;
- the size of the abscess has increased during treatment.
The operation involves opening a purulent cavity and draining it. The pus is evacuated. A thin tube is placed in the pouch of Douglas to keep the pus out. The doctor will remove it in a few days.
Surgical approaches for opening an abscess used in medicine are the following:
- laparotomy involves making a large incision in the anterior abdominal wall;
- laparoscopy involves making small incisions through which thin, long instruments are inserted.
If you are undergoing your treatment in Germany or another country with advanced medicine, a Douglas pouch abscess will be opened using minimally invasive techniques. Despite the achievements of modern medicine, a laparoscopic intervention cannot be performed for a ruptured abscess. Surgical treatment in Germany must therefore be timely if you want it to be minimally invasive.
Puncture for Douglas pouch abscesses
A needle puncture under CT or ultrasound guidance is an alternative to surgery. In medicine, this procedure occupies an intermediate position between surgery and conservative therapy. This technique does not require general anesthesia and reduces the length of a hospital stay. Puncture efficiency is 80-90%. The essence of the procedure is a puncture instead of an incision. A doctor evacuates the pus with a thick needle.
Where to undergo treatment for your Douglas pouch abscess?
If you have been diagnosed with a Douglas pouch abscess, you can undergo your treatment in Germany. This country offers a high level of medicine. Treatment in Germany will be safe and minimally traumatic. In many cases, doctors can eliminate Douglas pouch abscesses without any surgery but with antibiotic therapy or with an ultrasound-guided puncture. If these techniques are ineffective or cannot be used, an operation will be performed. Doctors usually perform a minimally invasive laparoscopic intervention.
You are welcome to visit the Booking Health website to find out the cost of treatment in Germany and compare prices at German hospitals and clinics in other countries with advanced medicine. When you make your appointment through Booking Health, the cost of treatment in Germany will be lower for you. Prices will be lower due to the absence of additional taxes for foreign patients.
The initial cost of treatment in Germany will not increase for you after the start of your program. Even if additional procedures are required, the price of medical services will remain the same since insurance will cover the extra costs.
Booking Health will take care of organizing your trip to Germany or another country with developed medicine. We will reduce the waiting time for the start of your treatment, which is especially important in the case of an abscess because this is an acute pathology that requires an early start of therapy.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
MedlinePlus
Medscape
