Does Imaging Before Percutaneous Drain Removal Affect Rates of Intra-abdominal Abscess Recurrence?

Springer, Jeremy E.; Doumouras, Aristithes G.; Nair, Saeda; Eskicioglu, Cagla; Forbes, Shawn S.

doi:10.1016/j.jss.2018.06.062

Cited by 11 publications

(8 citation statements)

References 21 publications

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“…[96,97,99]. The commonest routes for percutaneous drainage are transabdominal and transgluteal [100][101][102], and imaging before percutaneous drain removal is associated with a reduction in the rates of abscess recurrence and requirement for additional drainage procedures or surgery [103].…”

Section: Question 14mentioning

confidence: 99%

“…ES for Hinchey II AD is associated with an 80% colostomy rate and high mortality rate and so percutaneous drainage should be pursued if at all possible [ 96 , 97 , 99 ]. The commonest routes for percutaneous drainage are transabdominal and transgluteal [ 100 , 101 , 102 ], and imaging before percutaneous drain removal is associated with a reduction in the rates of abscess recurrence and requirement for additional drainage procedures or surgery [ 103 ].…”

Section: Introductionmentioning

confidence: 99%

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The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

et al. 2021

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Aim There is a requirement for an expansive and up to date review of the management of emergency colorectal conditions seen in adults. The primary objective is to provide detailed evidence‐based guidelines for the target audience of general and colorectal surgeons who are responsible for an adult population and who practise in Great Britain and Ireland. Methods Surgeons who are elected members of the Association of Coloproctology of Great Britain and Ireland Emergency Surgery Subcommittee were invited to contribute various sections to the guidelines. They were directed to produce a pathology‐based document using literature searches that were systematic, comprehensible, transparent and reproducible. Levels of evidence were graded. Each author was asked to provide a set of recommendations which were evidence‐based and unambiguous. These recommendations were submitted to the whole guideline group and scored. They were then refined and submitted to a second vote. Only those that achieved >80% consensus at level 5 (strongly agree) or level 4 (agree) after two votes were included in the guidelines. Results All aspects of care (excluding abdominal trauma) for emergency colorectal conditions have been included along with 122 recommendations for management. Conclusion These guidelines provide an up to date and evidence‐based summary of the current surgical knowledge in the management of emergency colorectal conditions and should serve as practical text for clinicians managing colorectal conditions in the emergency setting.

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Section: Question 14mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

et al. 2021

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“…Kateterin erken çekilmesi de tekrar kateter yerleştirilmesine neden olabilmektedir. Bu nedenle günlük gelen miktarı 20 mL'nin altına düşse dahi apsenin durumunu görüntüleme yöntemlerinden biriyle değerlendirilmesi tekrar eden girişimleri önleyecektir [9]. Ayrıca apse içeriğinin yoğun olması da drenajı zorlaştırıp hastanın cerrahi drenaja gitmesine sebep olan faktörlerdendir.…”

Section: Discussionunclassified

İntra-abdominal apselerde görüntüleme yöntemleri rehberliğinde kateterle perkütan drenaj

Arslan

Aslan

Ufuk

et al. 2020

Pamukkale Medical Journal

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ÖzAmaç: İntra-abdominal apselere görüntüleme eşliğinde yaptığımız perkütan drenaj işlemlerinin etkinliğini, işlemlerin hangi kılavuz yöntemle yapıldığını, komplikasyonlarını, alınan örneklerden gelen kültür antibiyogram sonuçlarını ve hastalarımızın klinik sonuçlarını değerlendirmektir. Gereç ve yöntem: Çalışmamız tek merkezli, retrospektif bir kohort çalışmasıdır. 01/06/2017-01/06/2019 tarihleri arasında hastanemiz girişimsel radyoloji bölümünde perkütan drenaj tedavisi uygulanan hastaların elektronik tıbbi kayıtları incelendi. Hastaların yaşı, cinsiyeti, işlemin yapılma yöntemi, kılavuz için kullanılan modalite, kullanılan kateter, oluşan komplikasyonlar, kateterin kaç gün kaldığı, hastaların kültür antibiyogram sonuçları araştırıldı. Bulgular: Perkütan drenaj ile kateter yerleştirirken 187 işlemde Seldinger tekniği, 6 işlemde Trokar yöntemi uygulandığı görüldü. Kateter mal pozisyonu, kateter tıkanması, apsenin tekrarlaması, drenajın yeterli olmaması gibi nedenlerle perkütan drenaj yapılan apselerden 89 (%50) tanesine ikinci bir işlem yapmak gerekti ve tekrarlayan kateter drenajı yapılan hastaların 75'i (%42) tedaviden sonra iyileşti. İntra-abdominal apselerde uygulanan perkütan drenaj tedavisinde toplamda başarı oranımız %84,9 olarak hesaplandı. Sonuç: İntra-abdominal apselerde apse ile ilişkili intra-abdominal patoloji bulunmuyorsa perkütan drenaj işlemi tedavide ilk seçenek olarak değerlendirilmektedir. Perkütan drenaj işleminin erken dönem komplikasyonları yok denecek kadar az olup güvenli ve etkili bir tedavi yöntemidir. Hangi apselere sadece antibiyotik tedavisi verilmesi gerektiği, hangilerine ince iğneyle aspirasyonun yapılacağı, hangilerine drenaj kateteri yerleştirilmesi gerektiği, hangilerine açık cerrahi tedavi gerektiğine dair çalışmalar yapılmasına ihtiyaç vardır.

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“…However, some universal criteria to be considered include resolution of the patient's clinical signs and symptoms (i.e., pain, fever) and a persistent catheter output of less than 5 to 10 mL/day (although protocols may be institutions-dependent). 1,20,49,53,56,57 Patients with an improving and uncomplicated clinical course and decreasing catheter output (e.g., <10 mL/day) typically need no follow-up imaging. 19,[57][58][59] However, repeated cross-sectional imaging may be advised before catheter removal to confirm correct catheter positioning and resolution of the collection in patients with persistent fever/symptoms or high drain output.…”

Section: Catheter Carementioning

confidence: 99%

“…1,20,49,53,56,57 Patients with an improving and uncomplicated clinical course and decreasing catheter output (e.g., <10 mL/day) typically need no follow-up imaging. 19,[57][58][59] However, repeated cross-sectional imaging may be advised before catheter removal to confirm correct catheter positioning and resolution of the collection in patients with persistent fever/symptoms or high drain output. 49,57,58,[60][61][62] For example, a recent study conducted by Sari et al showed a low rate (0.8%) of abscess recurrence if the catheter is removed without routine imaging when drainage is less than 10 mL/day for at least 2 days, and the patient is clinically stable.…”

Section: Catheter Carementioning

confidence: 99%

Percutaneous Image-Guided Drainage of Abdominal Fluid Collections in Children: Technical Considerations and Clinical Scenarios

Gallo-Bernal

Cahalane

Gee

2022

Digestive Disease Interventions

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While initially conceived and designed for adults, percutaneous image-guided drainage of abdominal pelvic and fluid collections has revolutionized the management of several pediatric pathologies. Interventional radiology procedures markedly reduce morbidity and mortality by offering a definitive minimally invasive approach or allowing a cleaner and less challenging subsequent open approach. These procedures are associated with improved patient comfort and rapid recovery. While similar techniques apply to children and adults, successful adaptation of image-guided interventional techniques in children requires consideration of several critical differences. This review aims to discuss the indications, contraindications, and technical aspects of percutaneous image-guided drainage of abdominal and pelvic fluid collections in children.

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Does Imaging Before Percutaneous Drain Removal Affect Rates of Intra-abdominal Abscess Recurrence?

Cited by 11 publications

References 21 publications

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

İntra-abdominal apselerde görüntüleme yöntemleri rehberliğinde kateterle perkütan drenaj

Percutaneous Image-Guided Drainage of Abdominal Fluid Collections in Children: Technical Considerations and Clinical Scenarios

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