A Study of Ultrasound and CT Guided Therapeutic Drainage of Intra-Abdominal Collections and Abscesses
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Intra-abdominal abscess remains a significant cause of morbidity and mortality in the patient population. Though there have been significant advances in treating them, it is still difficult to diagnose and treat. In fact it is the most dreaded complication of surgery. The aim of the study was to demonstrate the safety and efficacy of percutaneous drainages of intra – abdominal abscesses and collections when done under image guidance. Another aim was to demonstrate that this can be done even in ill patients who are not fit for general anesthesia. Material and methods: CT guided drainage of abscesses and collections were performed for 102 patients over a period of one year. Amongst the patients, there were 88 men and 14 women. The ages ranged from 16 to 72. A 128 slice CT scanner (Philips) was used for guidance. Results: Of the 102 drainage, 70 were done under CT guidance and 32 under US guidance. The abscesses were completely drained percutaneously in 91 patients (89.2%), hence avoiding invasive surgery. Conclusion: image guided catheter drainage of an intra-abdominal infective collection is a safer alternative to open surgical drainage both in healthy patients, and even more important in patients who are not fit for general anesthesia. CT guidance proved to be a better modality both in complete drainage and in avoiding complications.
Authors and Affiliations
Senthil Anbumani, Anita Soundarapandian
Keywords
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- EP ID EP424326
- DOI 10.21276/ijcmsr.2018.3.3.28
- Views 99
- Downloads 0
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