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A PROSPECTIVE STUDY COMPARING PIGTAIL CATHETER DRAINAGE VS REPEATED NEEDLE ASPIRATIONS IN TREATMENT OF INTRAABDOMINAL ABSCESSES

Sanjeew Kumar Chowdhary, Kuldeep Raj Sarangal

Abstract


Introduction: With marked advancement in imaging techniques Ultrasound/CT guided percutaneous aspiration/drainage has been widely accepted as treatment of choice than operative drainage in intra-abdominal abscesses.

 

Aims and Objectives: As there is paucity of comparative studies between percutaneous needle aspiration(PNA) & percutaneous catheter drainage (PCD), the present study was undertaken to compare the efficacy, cost –effectiveness, hospital stay and safety between two methods.

 

Material and Methods: Cases of intra-abdominal abscesses were randomly divided into two groups and Group A cases were treated by PNA and Group B patients were subjected to PCD and results were compared between two taking into consideration failure rates, recovery time clinically and radiologically, course of antibiotics, complication rate and duration of hospital stay.

 

Results: Out of 56 cases of intra- abdominal abscesses 29 patients were treated by PNA with success rate of about 83% and complication rates of about 7% while 27 patients were treated with success rate of about 96% and complication rate of about 18% but with faster recovery and shorter hospital stay than former.

 

Conclusion: PCD is more successful method than PNA though latter is safer and can be preferred in small abscesses.

Keywords


Intra-abdominal abscesses, Pigtail catheter, Image-guided percutaneous drainage, Catheter drainage, Repeated needle aspiration, Abdominal adscesses.

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References


Altemeier WA, Culbertson WR, Fullen WD, and Shook CD. (1973). “Intra-abdominal abscesses”, Am J Surg, Vol.125(1), pp.70-79.

Ciftci TT, Akinci D, and Akhan O. (2012). “Percutaneous transhepatic drainage of inaccessible postoperative abdominal abscesses”, AJR Am J Roentgenol, Vol.198(2), pp.477-481.

Feld R, Eschelman DJ, Sagerman JE, Segal S, Hovsepian DM, and Sullivan KL. (1994). “Treatment of pelvic abscesses and other fluid collections: efficacy of transvaginal sonographically guided aspiration and drainage”, AJR Am J Roentgenol, Vol.163(5), pp.1141-1145.

Ferrucci JT. (1985). “Interventional radiology of the abdomen”, Williams and Wilkins, pp.108-144.

Gerzof SG, Robbins AH, Johnson WC, Birkett DH, and Nabseth DC. (1981). “Percutaneous catheter drainage of abdominal abscesses: a five-year experience”, N Engl J Med, Vol.305(12), pp.653-657.

Glass CA, and Cohn JR. (1984). “Drainage of intraabdominal abscesses: A comparision of surgical and CT-guided catheter drainage”, Am J Surg, Vol.147, pp.315-317.

Hemming A, Davis NL, and Robins RE. (1991). “Surgical versus percutaneous drainage of intra-abdominal abscesses”, Am J Surg, Vol.161(5), pp.593-595.

Martin GS, Mannino DM, Eaton S, and Moss M. (2003). “The epidemiology of sepsis in the United States from 1979 through 2000”, N Engl J Med, Vol.348(16), pp.1546-1554.

Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, and Suri S. (1998). “Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage”, Am J Roentgenol, Vol.170, pp.1035-1039.

Saluja S, Fields J M, and Schwartz D S. et al. (1998). “Percutaneous needle aspiration of small interloop abscesses in children”, Pediatr Surg Int, Vol.13(7), pp.528-530.

Sharma MP, and Ahuja V. (2001). “Management of amebic and pyogenic liver abscess”, Indian J Gastroenterol, Vol.20(Suppl 1), pp.C33–C36.

Siewert B, Tye G, and Kruskal J. et al. (2006). “Impact of CT-guided drainage in the treatment of diverticular abscesses: size matters”, AJR Am J Roentgenol, Vol.186(3), pp.680-686.

Thompson JE Jr, Forlenza S, and Verma R. (1985). “Amebic liver abscess: a therapeutic approach”, Rev Infect Dis, Vol.7, pp.171-179.

VanSonnenberg E, D’Agostino HB, Casola G, Halasz NA, Sanchez RB, and Goodacre BW. (1991). “Percutaneous abscess drainage: current concepts”, Radiology, Vol.181, pp.617-626.

Vansonnenberg E, Mueller PR, and Ferrucci JT. (1984). “Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part I: Results, failures. and complications”, Radiology, Vol.151, pp.337-341.

Vansonnenberg E, Wittich GR, Edwards DK, Casola G, Hilton SW, Self TW, and Keightley A. (1987). “Percutaneous diagnostic and therapeutic interventional radiologic procedures in children: experi¬ence in 100 patients”, Radiology, Vol.162, pp.601·605.

Yu SC, Ho SS, and Lau WY, et al. (2004). “Treatment of pyogenic liver abscess: prospective randomized comparison of catheter drainage and needle aspiration”, Hepatology, Vol.39, pp.932-938.

Zerem E, and Hadzic A. (2007). “Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess”, Am J Roentgenol, Vol.189, pp.W138-W142.


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