Effective Laparoscopic Drainage for Intra-Abdominal Abscess Not Amenable to Percutaneous Approach: Report of Two Cases

Kimura, Tomo; Shibata, Masahiko; Ohhara, Moritaka

doi:10.1007/s10350-004-0846-y

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…In general, significantly reduced rates of abdominal infection regardless of the surgical techniques [18] or antibiotic protocols used in such patients with abdominal trauma without evidence of intestinal spillage have been noted by previous studies [4,11,19]. It is also true that timely intervention, sound surgical judgment, and skillful operative technique have been noted to be critical in reducing infection following trauma [9,11].…”

Section: Discussionmentioning

confidence: 79%

Abscess rate of patients with penetrating abdominal injury in Zaria

Makama¹,

Garba²

2013

Health

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Background: Penetrating abdominal injury occurs when a foreign object pierces the skin. The morbidity and mortality associated with penetrating abdominal trauma is related to the intra-abdominal complications. This study is, therefore, intended to determine the abscess rate resulting from penetrating abdominal trauma in Ahmadu Bello University Teaching Hospital Zaria. Method: A 6-year (January 2006-December 2011) retrospective study of penetrating abdominal trauma emphasizing on the rate of development of intra-abdominal abscess. Information was obtained from patients’ case notes, operating room log books and surgical audit data. Information extracted included cases of penetrating abdominal trauma, intra-operative findings and cases of intra-abdominal abscesses. Results: A total of 39 cases of penetrating abdominal trauma were treated within this period of six years. 3 (7.7%) were treated in 2006, 6 (15.4%) in 2007, 3 (7.7%) in 2008 and 11 (28.2%) in 2009, 8 (20.5%) in 2010, 9 (23.1%) in 2011. 26 (66.7%) were adult while 13 (33.3%) were paediatric cases. The male were 37 (94.9%) and the female were 2 (5.1%), with a sex ratio of 18.5:1 (male to female). The age range was 5 -60 years (39.92 mean). The commonest cause of injury was road traffic accident. At exploration, 13 (33.3%) had organ injury only, 17 (43.6%) suffer from both organ injury and intra-peritoneal emorrhage, 9 (23.1%) had retroperitoneal haemorrhage only. The intra-abdominal abscess rate of penetrating abdominal injury in Zaria was found to be 2.6%. Conclusion: Contamination from either foreign object or organ injury is found to increase the risk of post-operative intra-abdominal abscess. In this center, the abscess rate of penetrating abdominal trauma is comparatively low.

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Section: Discussionmentioning

confidence: 79%

Abscess rate of patients with penetrating abdominal injury in Zaria

Makama¹,

Garba²

2013

Health

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“…14–16 It offers the advantage of exploration of the peritoneal cavity and drainage of abscess that are not amenable to a percutaneous approach. However, adhesion and combined phlegmonous change around the abscess make laparoscopic dissection a challenging, if not risky, procedure.…”

Section: Discussionmentioning

confidence: 99%

Drainage of Periappendiceal Abscess and Removal of Free Fecalith—Extraperitoneal Approach

Chang¹,

Cheng²

2014

International Surgery

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Treatment of complicated acute appendicitis is controversial. The dilemma is further complicated by presence of free fecalith in a well-circumscribed abscess, which has been repeatedly demonstrated to be a major predicting factor of treatment failure of nonoperative treatment of acute appendicitis complicated with appendiceal abscess. If left behind after drainage of the abscess, further operations for removal of retained fecalith or recurrence of abscess might be required. However, little had been stressed over the significance of removal of the free fecalith when it was first encountered. We report our experience of drainage of appendiceal abscess and removal of free fecalith by taking an extraperitoneal approach. Both of our cases made a smooth recovery without any complication or recurrence after a 2-year follow-up. Treatment with this approach avoids many of the complications associated with formal laparotomy. Unlike image-guided drainage or laparoscopic drainage, this procedure is relatively simple and straightforward and can be performed in any level of hospital, including private practitioners and in less well-developed areas and countries. With proper case selection, we recommend this approach as one of the alternatives in the treatment of late-presenting appendiceal abscess with free fecalith.

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“…A retrospective study of seven patients demonstrated successful drainage in all patients without recurrent abscess formation and no complications [42]. A reported advantage of laparoscopic drainage is direct visualization of purulent material and the ability to explore the abdominal cavity [43].…”

Section: Treatment Includes Antibioticsmentioning

confidence: 97%

ACR Appropriateness Criteria® Radiologic Management of Infected Fluid Collections

Weiss

Bailey

Hohenwalter

et al. 2020

Journal of the American College of Radiology

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Infected fluid collections are common and occur in a variety of clinical scenarios throughout the body. Minimally invasive image-guided management strategies for infected fluid collections are often preferred over more invasive options, given their low rate of complications and high rates of success. However, specific clinical scenarios, anatomic considerations, and prior or ongoing treatments must be considered when determining the optimal management strategy. As such, several common scenarios relating to infected fluid collections were developed using evidence-based guidelines for management.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Effective Laparoscopic Drainage for Intra-Abdominal Abscess Not Amenable to Percutaneous Approach: Report of Two Cases

Cited by 10 publications

References 14 publications

Abscess rate of patients with penetrating abdominal injury in Zaria

Abscess rate of patients with penetrating abdominal injury in Zaria

Drainage of Periappendiceal Abscess and Removal of Free Fecalith—Extraperitoneal Approach

ACR Appropriateness Criteria® Radiologic Management of Infected Fluid Collections

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