[Minimally invasive surgery of abscesses of the retroperitoneal space]

The article presents an experience with treatment of abscesses of the retroperitoneal space in 28 patients using interventions under ultrasonic control. All the patients underwent draining operations. Determination was made of optimal terms of operative treatment under the ultrasonic control depending on the character of pathological fluid accumulation; of rational approaches to the abscess cavity to support the safest passing the needle through the retroperitoneal space tissues. An algorithm of management of the patients at the stages of both stationary and ambulatory treatment was developed. An analysis of causes of the approach conversion after minimally invasive draining operations was made. Draining operations under USI control in most cases of retroperitoneal abscesses allowed sanitation of purulent cavities without open operations.