IMO 1407 Percutaneous ultrasound-guided catheter drainage of large splenic abscesses

Schäberle, Wilhelm; Kelsch, G.; Eisele, R

doi:10.1016/s0301-5629(97)80433-4

Cited by 4 publications

(4 citation statements)

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“…It is a trend among many surgeons that splenectomy is the treatment of choice for splenic abscesses [11]. However, imaging-guided percutaneous drainage of a splenic abscess has proven to be the linchpin for splenic abscess management [12,13]. Given the fact that many of these patients suffer from comorbidities, this has been established as standard management for splenic abscess.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Pigtail Catheter Drainage: An Effective Alternative to Exploratory Laparotomy

Jadhav¹,

Patel²,

Kopparthi³

et al. 2023

Cureus

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It has been long established that open surgeries were the only options available for the management of intra-abdominal abscesses or collections. These were associated with increased morbidity and mortality. Traditionally, the idea of percutaneous needling could not gain popularity due to poor localization of collections. However, with the advent of ultrasound, percutaneous pigtail-catheter drainage has proven to be minimally invasive and allows precise localization of the drainage site. ObjectivesTo study the effectiveness of ultrasound-guided pigtail catheter drainage as an alternative to exploratory laparotomy for the management of intra-abdominal abscesses or collections. Materials and methodsA total of 48 patient cases, which included liver abscesses, perinephric collections, malignant ascites, splenic collections, pseudocysts, and psoas abscesses, were studied prospectively in a medical college in India from October 2020 to October 2021. The efficacy of the drainage was assessed by serial ultrasound. ResultsOut of 48 patients, 34 were male and 14 were female, ranging in age from 19 to 64 years, who were diagnosed with intra-abdominal abscesses or collections and underwent ultrasound-guided pigtail catheter drainage. The average hospital stay for patients was 2.5 days. They were followed up periodically for three months post-procedure, and none had significant complications or recurrence. ConclusionThe pigtail catheter is the treatment of choice for liquefied intra-abdominal collections or abscesses, which helps to reduce post-procedure hospital stays and complications. ContributionThis article reiterates the use of minimally invasive techniques in place of open surgeries with less morbidity.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Pigtail Catheter Drainage: An Effective Alternative to Exploratory Laparotomy

Jadhav¹,

Patel²,

Kopparthi³

et al. 2023

Cureus

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“…Some authors report that percutaneous drainage or needle aspiration should be considered as the first line of treatment, reserving splenectomy for exceptional cases only. 8,9 We recommend needle aspiration, primarily in the treatment of splenic abscess, since experience with our cases showed that needle aspiration was sufficient to solve these splenic abscesses in most cases. Also, the method is much simpler and less aggressive than percutaneous catheter drainage, allowing shorter hospital stay and lower costs.…”

Section: 6mentioning

confidence: 90%

“…Current therapeutic strategies established spleen-preserving treatment in cases of trauma and benign lesions. Thus, percutaneous drainage of splenic abscesses is used instead of surgical treatment with good results 8,9 , provided that certain conditions are present. Percutaneous treatment is the most convenient when the abscess collection is unilocular or bilocular with a discrete wall and no internal septations, and when its content is liquid enough to be aspirated.…”

Section: 6mentioning

confidence: 99%

Splenic Abscess – A Report Of 2 Cases.

2012

IJS

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Splenic abscess is an uncommon but potentially life-threatening disease that generally occurs in patients with neoplasia, immunodeficiency, hemoglobinopathies, trauma, metastatic infection, and diabetes. Splenic abscess should be considered in a patient with fever, left upper abdominal pain, and leucocytosis. Splenectomy has been the gold standard treatment for splenic abscess but is associated with high morbidity rates. With the recent development of minimally invasive techniques and percutaneous US or CT guided procedures, percutaneous aspiration has achieved excellent results with resolution of the disease in a high percentage of cases with low morbidity and negligible mortality.Percutaneous aspiration is indicated for uniloculated and biloculated abscess and for high-risk surgical patients. It is a reliable technique with a high rate of therapeutical success and low costs compared to surgery. Other advantages include avoiding risks of intra-abdominal spillage and perioperative complications and saving time, along with a better patient compliance and an easier nursing care. Our result suggests that ultrasound-guided percutaneous aspiration is a safe and feasible alternative to surgery in the treatment of carefully selected cases of splenic abscesses. This approach allows splenic preservation.

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“…Dabei bestehen 2 grundsätzliche Vorgehensweisen. Dies ist die Direktpunktion (Trokartechnik) und die Direktpunktion nach "Vorpunktion" mittels einer dünnen Nadel von 18 -22 Gauge als Pilot für die Biopsienadel mit Erfassung der Punktionsrichtung und -tiefe (Tandem-Trokar-Technik, Tandem-Nadelbiopsie-Technik [19]). Die technischen Ergebnisse sind inzwischen hervorragend und erreichen Erfolgsraten von 100% und eine Drainage-Platzierungsrate von 98%.…”

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Sonografisch gestützte Interventionen[nl](auch eine kleine Materialkunde)

Gottschalk¹,

Ignee²,

Dietrich³

2010

Z Gastroenterol

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For many years ultrasound-guided biopsy and drainage has represented a routine part of clinical practice. Percutaneous biopsy and drainage are minimally invasive procedures for sampling tissue or the removal of fluid collections within the body. Differing image guidance techniques for the positioning of the needles/catheters are in use. This is due to the advancement of effectiveness and safety of modern guidance methods. For the management of abscesses, percutaneous drainage is more effective (depending on the size) than percutaneous needle aspiration and is being increasingly used as the first-line treatment. This shift in practice is driven by the preference for low-risk, minimally invasive procedures and thus using surgical interventions only when percutaneous drainage has been unsuccessful. However, the variety of biopsy needles and drainage systems available to the clinician can appear overwhelming. We present a literature review regarding the devices and materials currently available to achieve the most reliable results with the lowest level of complications. With regard to drainage systems, particular considerations include the consistency of fluid, path of access and guidance technique. Although we present comparisons between published studies, it is important to consider that the personal experience of the interventionalist will also have an impact on the device chosen.

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IMO 1407 Percutaneous ultrasound-guided catheter drainage of large splenic abscesses

Cited by 4 publications

References 0 publications

Ultrasound-Guided Pigtail Catheter Drainage: An Effective Alternative to Exploratory Laparotomy

Ultrasound-Guided Pigtail Catheter Drainage: An Effective Alternative to Exploratory Laparotomy

Splenic Abscess – A Report Of 2 Cases.

Sonografisch gestützte Interventionen[nl](auch eine kleine Materialkunde)

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