MODE OF TREATMENT OF INTRA-ABDOMINAL ABSCESSES

• Main Author: Konstantin Kostov
• Format: Article
• Language: English
• Published: Peytchinski Publishing 2020-03-01
• Series: Journal of IMAB
• Subjects: intra-abdominal abscess; drainage; ultrasound control; collection; surgery
• Online Access: https://www.journal-imab-bg.org/issues-2020/issue1/JofIMAB-2020-26-1p2994-2997.pdf

Purpose: The purpose of this study is to analyze the indications and clinical use of percutaneous drainage and its results in the treatment of intra-abdominal abscesses. Material and Methods: Data on 63 patients with intra-abdominal abscess, was processed within a retrospective clinical analysis for the period of 1.1. 2015 to 1.1. 2017 in the General, Visceral and Emergency Surgery Section of the UMHATEM "Pirogov". Of the hospitalized women are 37 (58.73%), men 26 (41.27%). The age in this retrospective analysis varied from 18 to 76 years (average 43.7 years). Results: The most common abscesses were hepatic, which were associated with hepatobiliary pathology (inflammatory processes or neoplasia) - include 36 patients (57.14%). The next group (19 patients - 30.16%) were with pelvic abscesses (mostly of gynaecological origin) and those associated with the ileocecal segment (after acute appendicitis or, more rarely, associated with peritumoral infiltrate). Eight of the patients (12.7%) were diagnosed with an abscess in the left iliac fossa, resulting in acute diverticulitis on the colon sigmoideum. Conclusions: The method of drainage under ultrasound control is successful, with a low morbidity and mortality rates, well tolerated by patients, low cost, performed under local anaesthesia, even for high-risk patients, and should be used as the first step in the algorithm of treatment of an intra-abdominal abscess.