Retroperitoneoscopic drainage of a psoas abscess

Katara, Avinash N.; Shah, Rasik; Bhandarkar, Deepraj S.; Unadkat, Rajan J.

doi:10.1016/j.jpedsurg.2004.05.033

Cited by 23 publications

(18 citation statements)

References 7 publications

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“…To our knowledge, only three publications regarding laparoscopic drainage of psoas abscess have been reported in the English literature. 10,11,12 …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Drainage of Iliopsoas Abscess

Rizvi¹,

McManus²,

Foo³

et al. 2015

CRSLS

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Introduction: Iliopsoas abscess is a rare condition that carries a risk of mortality when not treated appropriately. There is a paucity of high-level evidence concerning the management of this abscess and very sparse data is available in the literature regarding treatment options. This article discusses the treatments for iliopsoas abscess and reports a case effectively drained laparoscopically through an extraperitoneal approach.

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“…To our knowledge, only three publications regarding laparoscopic drainage of psoas abscess have been reported in the English literature. 10,11,12 …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Drainage of Iliopsoas Abscess

Rizvi¹,

McManus²,

Foo³

et al. 2015

CRSLS

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“…The fascia of the psoas muscle with posterior perirenal fascia is anatomically placed in the retroperitoneal space [9], so we had thought that retroperitoneoscopic drainage can be used instead of open surgical drainage for psoas abscesses. To our knowledge, only two publications regarding endoscopic drainage of psoas abscess were reported in the English literature [10,11].…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneoscopic drainage of complicated psoas abscesses in patients with tuberculous lumbar spondylitis

et al. 2011

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Purpose Nowadays, endoscopic techniques are widely used in surgical procedures. Retroperitoneoscopy has been an extremely valuable tool for a wide variety of urologic disorders, whereas, it has limited use in orthopedic procedures. MethodsWe performed retroperitoneoscopic drainage (in combination with medical treatment) of complicated psoas abscess on 12 patients with tuberculous spondylitis. All the procedures were done under general anesthesia and in the lateral decubitus position. Psoas abscess was evacuated during procedure, and postoperatively, drainage was continued through a large silastic tube. The definitive diagnosis and the treatment were made based on the results of culture-antibiogram and PCR testing. Results Complete clinical and radiologic remission was observed in all patients in 3-6 months. The complication was not observed in any case postoperatively.Conclusions Retroperitoneoscopic drainage of psoas abscesses gains advantages in terms of rapid recovery, minimal invasiveness, absence of radiation, and shorter hospital stay. This procedure can be used not only for cold abscesses but also for other pathologies of lumbar vertebral area.

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“…2 More than 80% of primary psoas abscesses occur in patients aged 0-30 years. 7 They are more common on the right side. 2 S. aureus is implicated in over 88% of patients with primary psoas abscess.…”

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confidence: 99%

“…2 S. aureus is implicated in over 88% of patients with primary psoas abscess. 2 Other causative organisms include Streptococcus sp, Escherichia coli, Mycobacterium tuberculosis (in developing countries), 7 Mycoplasma pneumoniae, 3 Proteus, Pasteurella multocida, Bacteroides, Clostridium, Klebsiella and Salmonella spp. A primary psoas abscess has a good prognosis, with a mortality rate of 2.4% compared to 18.9% for patients with secondary abscess.…”

mentioning

confidence: 99%