Image-guided percutaneous treatment of abdominal-pelvic abscesses: a 5-year experience

Laganà, Domenico; Carrafiello, G.; Mangini, Monica; Ianniello, Andrea; Giorgianni, Andrea; Nicotera, Paolo; Fontana, Federico; Dionigi, Gianlorenzo; Fugazzola, Carlo

doi:10.1007/s11547-008-0320-3

Cited by 41 publications

(33 citation statements)

References 28 publications

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“…All abscesses with fistula to the genitourinary system were successfully treated, while 4 of 10 abscesses with fistula to the gastrointestinal system resulted in failure (40%). Our results confirm the results of other studies which had lower success rates with percutaneous drainage in the presence of enteric fistula (10,11,16,20,21). The time necessary to heal the enteric tear extends the duration of catheter use (11,20).…”

Section: Discussionsupporting

confidence: 89%

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Pelvic abscess drainage: outcome with factors affecting the clinical success

Akıncı

Ergün

Topel

et al. 2018

Diagn Interv Radiol

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Section: Discussionsupporting

confidence: 89%

“…According to published reports, minor complications such as bacteremia, and catheter-related problems, occur in around 3% of cases (1,10,11,21). In the present study, minor complications such as accidental catheter removal, obstruction and kink were observed in 6.7% of abscesses.…”

Section: Discussionsupporting

confidence: 59%

Pelvic abscess drainage: outcome with factors affecting the clinical success

Akıncı

Ergün

Topel

et al. 2018

Diagn Interv Radiol

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“…Observational studies from a number of centers have shown it to be a safe effective alternative to surgical intervention, with equivalent success rates, comparable mortality (10-20%) and morbidity (~25%) [14,15] . Inspite of the 100% technical success in the procedure , which is exactly the same as in Marianne E et al study [16], failure of drainage in our study occurred in 5 patients( 12.5%), compared to Kumar et al study [17] , in which 3% failed to improve and underwent operative intervention, and to Lagana et al 8.4 % [18]. Others reports include Haage et al with 14% [19], Lang et al with 23% [20], Jaques et al with 34% (15% failure and 18% partial success) [21].…”

Section: Discussionsupporting

confidence: 87%

Percutaneous Drainage of Abdominal Collections under Imaging Guide

Meazher¹,

Mahdi²,

Obaidi³

et al. 2017

J. Fac. Med Baghdad

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Background: One of the most significant advances in the treatment of intra-abdominal collections during the past 2 decades has been the introduction of image-guided therapy with percutaneous catheter drainage. The development of improved imaging modalities, together with broad-spectrum antibiotics and soft drainage catheters, has changed the treatment of collections that previously required an urgent operation. Disease processes that have traditionally been treated with open surgical drainage and debridement can now be resolved with percutaneous catheter drainage and antibiotics. In selected cases, this will allow for better preparation of the patient for a later elective and definitive operation. Objective: Highlight the outcome, safety and effectiveness of percutaneous drainage procedure of abdominal collections performed under imaging guide. Patients and Methods: Forty one patients were referred from surgical wards and emergency department after diagnosing abdominal collections. Then each case discussed with radiologist to determine the route and type of catheter and imaging modality for guidance (ultrasound and/or computerized tomography). The size and site of the collections were estimated along with the most suitable approach and angle of catheter insertion. A safe drainage route was identified avoiding solid organs and bowel. Results: Percutaneous drainage of 41 abdominal collections under imaging control was carried out in 41 patients during a one year period. No complications resulted from the procedure itself. Percutaneous drainage was sufficient to drain the collections in 35 cases (no further surgery is needed). Of those who require surgery (5 patients), the procedure considered to be as a temporary measure. One case was diagnosed as sero-mucinous tumor of bowel. Conclusion: Percutaneous drainage of abdominal collections is a safe, effective and minimally invasive alternative approach to formal surgical drainage.The advantages include: the drainage can be done under local anesthesia, diagnosis and treatment can be achieved simultaneously in radiological department.

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“…Antibiyoterapinin tek başına yetersiz kaldığı ve drenaj tedavisinin uygulanmadığı durumlarda İAA'lar sepsise neden olabilmekte, %45-100 mortal seyretmektedir. Radyolojik görüntüleme yöntemleri eşliğinde perkütan apse drenajı minimal invaziv, kolay, efektif, güvenli ve tolere edilebilir olup, cerrahiye göre düşük mortalite ve morbidite oranlarına sahiptir [1][2][3][4] . Bu çalışmadaki amacımız, perkütan drenaj (PD) yöntemi uyguladığımız intraabdominal apse olgularında; kullandığımız tedavi yaklaşımı, seçilen yöntem ve araçlar ile tedaviden elde edilen sonuçların sunulmasıdır.…”

Section: Introductionunclassified

İntraabdominal Apselerin Görüntüleme Eşliğinde Perkütan Drenajı

Damar¹,

Özdemir²,

Hekįmoğlu³

2019

Dicle Tıp Dergisi

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apseyle ilgili retrospektif analiz yapılmıştır. Apselerin drenajı ultrason ve floroskopi kılavuzluğunda gerçekleştirilmiştir. 12 apsede (<5 cm) basit iğne (18 G, Chiba) aspirasyon metodu, geri kalan diğer 46 apsede ise Seldinger yöntemiyle perkütan kateter (6 F-14 F) drenajı uygulanmıştır. Bulgular: Perkütan kateterizasyonların yaklaşık %49'u (23/46) ilk haftada sonlandırılmıştır. Perkütan drenajda ilk girişimde elde edilen başarı oranı % 63,7 (37/58)' dir. Perkütan drenajı yapılan apselerde rekürrens oranı %19 (11/58) bulunmuş olup bunların tümü ikincil girişimlerle tedavi elde edilmiştir. Kümülatif başarı ve başarısızlık oranları sırasıyla %82,8 (48/58) ve %5,2 (3/58) olarak belirlenmiştir. 7 apsede (%12) temporizasyon ya da palyasyon sağlanmıştır. Temporizasyon-palyasyon sağlanan apseler ile ikincil girişimlerle tedavi edilen tüm apseler dahil edildiğinde başarı oranı %94,8 (55/58) ve başarısızlık oranı %5,2 (3/58) olarak belirlenmiştir. Mortalite oranı ise %3,4 (2/58) bulunmuştur. Tartışma ve Sonuç: Prosedürün minimal invaziv, kolay, güvenli ve efektif oluşu, cerrahiye göre düşük komplikasyon oranları, ayrıca genel anesteziye gerek duyulmaması nedenleriyle perkütan drenaj, intraabdominal apse tedavisinde ilk seçenektir. Tedavide yüksek başarı oranları elde etmek için, güvenli giriş rotası olan tüm intraabdominal apseler görüntüleme eşliğinde perkütan drene edilmelidir.

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Image-guided percutaneous treatment of abdominal-pelvic abscesses: a 5-year experience

Abstract: Percutaneous drainage is feasible and effective in treating abdominal and pelvic abscesses. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.

Cited by 41 publications

References 28 publications

Pelvic abscess drainage: outcome with factors affecting the clinical success

Pelvic abscess drainage: outcome with factors affecting the clinical success

Percutaneous Drainage of Abdominal Collections under Imaging Guide

İntraabdominal Apselerin Görüntüleme Eşliğinde Perkütan Drenajı

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