İntraabdominal Apselerin Görüntüleme Eşliğinde Perkütan Drenajı

• Main Authors: Çağrı Damar, Meltem Özdemir, Baki Hekimoğlu
• Format: Article
• Language: English
• Published: Dicle University Medical School 2019-03-01
• Series: Dicle Medical Journal
• Subjects: Abdomen; abscess; percutaneous; drainage; radiology
• Online Access: http://diclemedj.org/upload/sayi/72/Dicle%20Med%20J-03592.pdf

Objective: The aim of this study was to assess the effectiveness of percutaneous drainage of intraabdominal abscess, paying attention to success, recurrence and failure rates. Methods: A retrospective evaluation of percutaneous treatment of 58 intraabdominal abscesses in 50 patients (26 male, 24 female; between the ages of 23 to 88 years old; average age: 53 years) was performed. Abscesses were drained with the guidance of sonography and fluoroscopy. 12 abscesses (<5 cm) drained by simple needle (18 G, Chiba) aspiration; catheter (6 F to 14 F) drainage by Seldinger technique was used in the remaining 46 abscesses. Results: About 49% (23/46) of percutaneous catheterizations are terminated in the first week. The success rate in the first intervention was 63.7% (37/58). The recurrence rate was 19% (11/58) and all of them treated by second attempts. Cumulative success and failure rates were 82.8% (48/58) and 5.2% (3/58), respectively. 7 abscesses (12%) were either temporized or palliated. The overall success (with abscesses, which were temporize-palliated and required re-intervention) and failure rates were 94.8% (55/58) and 5.2% (3/58), respectively. Within a one month period, the mortality rate was 3.4% (2/58). Conclusions: Reasons for preference the percutaneous drainage procedure as a first choice in the treatment of intra-abdominal abscess are general anesthesia avoidance, having lower complication rates than surgery and also being minimally invasive, easy, safe and effective. Image-guided percutaneous drainage should be performed in every intraabdominal abscess with a reliable access route in order to obtain high rates of therapy success.