Draining The Paracolic Gutters Without Surgery

1 from 50 120 ml d from all the drains before the administration of nac to up to 500 ml d from the drain in the paracolic gutter 9 days after starting nac.

Draining the paracolic gutters without surgery.

Paracolic gutters function to drain fluid that leaks from the colon such as infectious matter pus or bile and to prevent infection or damage to the outer margin of the colon. Those patients conventionally have undergone percutaneous drainage with a small caliber catheter or surgical debridement for management. In severe cases necrosis and inflammation can extend caudally toward the retroperitoneal spaces near the paracolic gutters. The right lateral paracolic gutter runs along the right side of the cavity of the abdomen.

Its origin lies on the right side origin of the right paracolic gutter lies at the ascending portion of the colon at the right hepatic flexure or the point where the ascending colon turns at a right angle to form the transverse colon. We measured the drain output daily and noted a marked increase fig. Therefore we instilled 6 ml of 10 nac into the drain in the left paracolic gutter every 3 4 hours. During the index admission abscess drainage was performed in 21 patients of which 19 patients were successfully managed without surgery on the index admission and two patients ultimately required surgery.