PERCUTANEOUS ABSCESS DRAINAGE OF INTRA-ABDOMINAL ABSCESSES AND FLUID COLLECTION
Abstract
PURPOSE : To assess the safety and efficacy of Percutaenous Abscess Drainage (PAD) of intra-abdominal abscesses or fluid collections with small-bore catheter in patients who were followed up for 2 years.
MATERIALS AND METHODS : Retrospective analysis was performed in 55 consecutive PAD patients who were treated from July 1993- May 1996 in whom 2-years follow up data were available. Results of PAD were defined as cure, palliation/ temporization and failure.
RESULTS : 55 abscesses and fluid collections were drained in 52 patients. Cure rate, palliation/temporization rate and failure rate were 68, 17 and 15 percent respectively. Catheter complication was 19 percent. Minor complication was 10 percent. One patient died due to intraperitoneal bleeding. Recurrent rate was 2.4 percent. Most of PAD were performed by small-bore catheter.
CONCLUSION : Our 85 percent success rate of PAD with small-bore catheter and acceptable minor complication rate indicate efficacy and safety of this technique in treating intra-abdominal abscesses and fluid collections.
Index term : Abdomen, abscess
Abscess, percutaneous drainage
Interventional procedures
Abbreviation : PAD = Percutaneous Abscess Drainage
US = Ultrasonography
CT = Computed Tomography
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