Comparison of Various Techniques Used in The Management of Liver Abscess
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 3
Abstract
This study was designed to determine the frequency of various clinical features in liver abscess and to evaluate the outcome of patients treated by medical management vs. percutaneous drainage intervention in terms of hospital stay. In this prospective study, 75 patients (71 males and 4 females; age range- 15-80 years) with liver abscess during the course of one year (September 2013 to August 2014) were included. Patients with abscess >100cc, aspirable and multiple with largest cavity >100cc underwent percutaneous drainage, either USG guided needle aspiration (n=29) or pigtail catheter drainage by seldinger technique (n=32) along with appropriate antimicrobial therapy. In cases of multiple liver abscess <100cc or non-aspirable content, medical management (n=3) and in ruptured abscess, laparotomy (n=10) was done. To evaluate the outcome of the treatment, length of hospital stay (till alleviation of clinical symptoms) was assessed. Of the most common signs and symptoms, abdominal pain and right hypochondriac tenderness (n=75) were present in 100% of cases. Among the successfully treated patients, the average time for clinical improvement and the mean hospital stay were slightly different among groups. The average time for alleviation of symptoms was greater in the medically treated group than in the aspiration and catheter group (7 vs. 6.2 days) with P value >0.05, (7 vs. 6.7 days) with P value <0.05 respectively. Our results shows that percutaneous catheter drainage and aspiration is more effective than medical treatment in management of liver abscess. Keywords: liver abscess, laparotomy, abdominal pain, catheter drainage, aspiration.
Authors and Affiliations
Preeti Kathel, Madan Moha n Mudgal, Naveen Kushwah
Keywords
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