Drainage of abdominal abscesses guided by sonography

Grønvall, S; Gammelgaard, Jens; Haubek, Aksel; Hh, Holm

doi:10.2214/ajr.138.3.527

Cited by 48 publications

(16 citation statements)

References 12 publications

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“…Percutaneous drainage of intraabdominal abscesses guided by US (6) or by CT (4) has been reported. Treating a variety of intraabdominal abscesses, GR0NVALL et al (6) obtained a cure rate of 82 per cent.…”

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confidence: 99%

Ultrasonically Guided Percutaneous Treatment of Liver Abscesses

et al. 1990

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Twenty-two patients with liver abscesses demonstrated by ultrasonography (US) were treated over a nine-year period. The diagnosis was in all cases verified by puncture. The patients were treated by US-guided puncture or catheter drainage. Seventeen patients (77%) were cured without surgical drainage. Four patients were cured after subsequent surgical intervention. One patient died later of pancreatic carcinoma. There were no complications from the USguided therapy. For the treatment of liver abscesses we recommend US-guided drainage as the first choice. Close collaboration between surgeon and radiologist is mandatory since some of these patients still need surgical treatment.

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confidence: 99%

Ultrasonically Guided Percutaneous Treatment of Liver Abscesses

et al. 1990

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“…Although drainage of fluid collections may be performed by laparotomy, image-guided placement of percutaneous drainage catheter has been shown to be more suitable particularly to cancer patients and proven to be curative in 80% to 90% of cases. 36,37 Most pelvic fluid collections can easily be sampled or drained, either temporarily or long term. Various types of fluid collections arise in 4 subgroups: pretreatment ascites/effusions/abscess, postoperative period, delayed collections following treatment, and end-stage malignancy with ascites or effusions.…”

Section: Percutaneous Drainage Of Fluid Collectionsmentioning

confidence: 99%

The Role of Interventional Radiology in Management of Benign and Malignant Gynecologic Diseases

Stavas

2013

Obstetrical &Amp; Gynecological Survey

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This article focuses on the role of interventional radiology in the therapeutic and diagnostic management of benign and malignant gynecologic conditions. The subspecialty of interventional radiology utilizes minimally invasive advanced image-guided percutaneous techniques in gynecology that include central venous catheter placement, fluid aspiration, drainage catheter placement, tissue biopsy, inferior vena cava filter placement, and pelvic arterial embolization. Central venous catheters, such as ports, peripherally inserted central catheters, and tunneled catheters, are placed for intermediate to long-term intravenous chemotherapy or total parental nutrition or antibiotics. Patients with refractory malignant ascites or pleural effusion from seeding of advanced gynecologic cancers may benefit by percutaneous aspiration of fluid collections or placement of drainage catheters. Postoperative fluid collections including abscess, seroma, or lymphocele are managed by percutaneous drainage catheter insertion. Pelvic, peritoneal, or retroperitoneal masses can be sampled by image-guided percutaneous biopsy or aspiration of fluid to determine a pathologic diagnosis. Certain patients are at risk for deep venous thrombosis with pulmonary embolism and may benefit from an inferior vena cava filter. Patients with uncontrolled postoperative or postpartum bleeding can be effectively managed with emergent transarterial pelvic embolization. Each of the aforementioned interventions with indications, expected benefits, and complications is described including a published literature.

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“…Image-guided percutaneous drainage has become the standard management of intra-abdominal abscesses and since the introduction of the ultrasound (US)-guided percutaneous drainage technique approximately 30 years ago, this technique has been shown to be curative in 80% to 90% of cases (Grønvall et al 1982;vanSonnenberg et al 2001).…”

Section: Introductionmentioning

confidence: 99%