Percutaneous drainage of 335 consecutive abscesses: results of primary drainage with 1-year follow-up.

Abstract

Retrospective review of percutaneous abscess drainage (PAD) of 335 abscesses in 323 consecutive patients was undertaken. Particular attention was directed to body location, associated organ system, communications and fistulae, and to the underlying immunologic status of the patient. One-year follow-up was available in all patients. Overall, the cure rate was 62.4% (209 of 335 abscesses), with a failure rate of 8.95% (30 of 335 abscesses). There were 14.2% (46 of 323 patients) deaths in the follow-up period, of which 4.6% (15 of 323 patients) were believed attributable to sepsis or septic complications. The overall complication rate was 9.8% (33 of 335 abscesses), most of which were minor in nature. For the patient exhibiting immunocompromise, representing 53.1% (172 of 323 patients) of the patient population, the cure rate was 53.4% (95 of 178 abscesses), which was significantly lower than the cure rate of 72.6% (114 of 157 abscesses) for the immunocompetent patient population (n = 151) (P less than .001). The recurrence rate was 2.1% (seven of 335 abscesses), with all recurrences within 3 months of initial drainage. PAD is effective and permanent treatment for both immunocompromised and immunocompetent patients.

Aortic graft infection: the value of percutaneous drainage.

“…Primaiy percutaneous abscess drainage is often performed as a definitive procedure for the treatment of intraabdominal infected fluid collections. In addition, it is routinely used as a temporary measurebefore subsequent surgical intervention, which can then be performed tan der optimal conditions.This two-steptherapeu tic approach has been used extensively with good results in patients with acute diverticulitis andinflammatory bowel disease [28][29][30]. In our series,manyofthe patientsin the surgicalgroup died of sepsis, whereas those treated with either percutaneousdrainage alone or with a subse quent surgical intervention experienced both good infection control and a significantly re ducedmortality rate.…”

Improving the outcomes in gastric cancer surgery

“…When leakage or associated intra-abdominal abscess is suspected clinically by positive peritoneal signs, fever and/or wound infection, further investigation using computed tomography should be prompted. If detected and leakage is minor it can be successfully managed with percutaneous drainage [92,93] . Some authors advocate the use of conservative management techniques for treating anastomotic leakage such as placement of a nasojejunal tube combined with percutaneous drainage of abscess [94] .…”

Imaging guided thoracic interventions

“…Mediastinal collections can be drained under CT guidance using a parasternal catheter approach for collections located in the anterior mediastinum (®g. 7) and a posterior paraspinal approach for safe access to the posterior and middle mediastinal compartments [14,27]. When a mediastinal abscess is associated with oesophageal perforation, an oesophageal catheter can be inserted in the mediastinum over a guide wire through the oesophageal tear [123].…”