This document discusses various approaches and complications related to pelvic cavity drainage procedures. It mentions anterior, posterior, and endocavitary approaches. Potential complications include hematoma, pneumothorax, and hematuria. Drainage risks include kinking of the drain at the skin. Guidance techniques, drain characteristics, and post-procedure considerations are also outlined.

1. Complications
(Hematoma (hilar vessel injury 
Pneumothorax 
(Hematuria (AVF 

2. Complications
Risk : Kinking of the drain
at the skin

3. Anterior approach
Posterior approach
Endocavitary approach

4. Pelvic cavity
Anterior approach
Volume of the mass 
Change bladder filling 
Inferior epigastric vessels 

5. Pelvic cavity
Anterior approach

6. Pelvic cavity
Anterior approach

7. Pelvic cavity
Lymphocel drainag

8. Pelvic cavity
Lymphocel drainag

9. Pelvic cavity
Lymphocel drainag

10. Lymphocel aspiration
Renal transplant
Pelvic cavity

11. Sclerosis Cyst/Lymphocel
Tetracycline, ethanol, 
bleomycine, betadine
Rules: Preliminary 
opacification to search for
communication (GI, Biliary,
(ureter
; Technique : 2/3 volum 
h ; reaspiration ; repeat 1

12. Pelvic cavity
Posterior approach
Sciatic
Vessels
Gluteal muscles

13. Pelvic cavity
Posterio
proac
h

14. Pelvic cavity
Posterior approach

15. Drainages
Déclive 
(Diameter (type de fluid 
,….One , two 
(Guide/S (long, large caliber drain 
(Direct puncture (Fast, small drain 

16. Drainages
If thick wall: risk of residual
cavity non collapsed

17. Drainages
Post cystectomy abcess

18. Drainages
Density modification due to
hemorrage

19. Drainages
Endocavitary approach
Multiplane US probe–cristal 
extremity
’Probe of drainage‘locking 
Fixation material on the 
endocavitary probe with
adapted diameter guide
Caliber ‘thick rectal/vaginal 
wall’/ Seldinger