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abscesses will typically need to be surgically drained of pus in order for them to heal. 1 abscesses can be drained using open surgery, in which an incision is made in the patients abdominal, pelvic, or anal area and the abscess is drained during the procedure, however, when possible, surgeons will usually try to use a minimally invasive. an abdominal abscess is a pocket of infected fluid and pus located inside the belly (abdominal cavity). This type of abscess can be located near or inside the liver, pancreas, kidneys or other organs. An abdominal abscess can be extremely painful and dangerous if not drained properly. Its important to seek medical help if you suspect there is a problem. The abscess is just like any other abscess in the body its a pocket of bacterial pus that can infect the rest of the area if it bursts. An intra-abdominal abscess is a collection of pus or infected fluid that is surrounded by inflamed tissue inside the belly. an abdominal abscess is a pocket of pus located in the abdomen. Tang et al 13 found a postoperative intra-abdominal abscess rate of 11 for perforated appendicitis treated laparoscopically compared with a rate of 3 treated by the open method (p. They found no difference in postoperative intra-abdominal abscess rates between open and laparoscopic appendectomy for treatment of gangrenous appendicitis.). Evidence-based guidelines for managing patients with intra-abdominal infection were prepared by an expert panel of the surgical infection society and the infectious diseases society of america. These updated guidelines replace those previously published in 20 the guidelines are intended for treating patients who either have these infections or may be at risk for them. 1 abscess classification ischioanal abscesses located in ischioanal fat are bordered by the sphincter muscles medially by the levator ani in the cranial aspect, and by the ischial bone laterally. Depending on the location, sometimes these can be differentiated into superficial and deep.