علاج الناسور القولوني المثاني المصحوب بتسمم الدم البولي أو خراج الحوض أو العجز الغذائي

References

• Medical optimization includes control of sepsis while addressing malnutrition and anemia, if present.
• Patients with urosepsis should receive an appropriate course of antimicrobial therapy and, if a pelvic abscess is present, consideration for percutaneous drainage should be made for any collection larger than 4 centimeters to expedite resolution of acute sepsis.
• Control of sepsis, and correction of anemia and malnutrition when present can shift the patient to elective surgical intervention under more optimal conditions, which can improve the chances of a minimally invasive approach with less conversion to open surgery and lower rate of stoma formation.