Outcome of ultrasound guided pigtail catheter drainage of liver abscesses a prospective study of 126 cases

Malik, Sayeed Majid; Bhasin, Sanjiv Kumar; Azad, Tariq Parvez

doi:10.18203/2349-2902.isj20151093

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…We recommend large scale study and randomized comparative study with other modality of treatment for liver abscess will help in confirmation of safety, effectiveness in treatment of liver abscess. Two studies done by Gupta et al and Malik et al observed similar results in the drainage of liver abscess [13,14] .…”

Section: Discussionmentioning

confidence: 63%

Ultra-sonography guided pigtail placement for drainage of liver abscess in 40 patients: A retrospective study

Rathod¹,

Parmar²,

Parmar³

et al. 2021

Int. J. Surg. Sci.

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Aim and Objective: 1. To evaluate the advantages of USG guided pigtail catheter placement for drainage of liver abscess. 2. To assess the morbidity and complications of percutaneous pigtail catheter drainage in treatment of liver abscess. Methods: The study was conducted at Zydus Medical College and Hospital, Dahod, Gujarat, January 2018 to January 2020. It included 40 USG confirm cases of liver abscess. The liver Abscess ≥5x5 cm underwent percutaneous drainage was determined by doing serial USG scans. Results: Age group varied from 20 to 60 years. Out of 40 patients 36 were men and 4 were women. The male to female ratio 10:1. 28 patients had solitary abscess, while 12 had multiple abscess. Pigtail catheter of various sizes (10 F or 12 F) were introduced in these patients using the Seldinger technique. The volume of pus drained ranged from 150 to 400 ml, complications were minor and included catheter blockage in 8 patients and tract pain in 35 patients. There was no mortality associated with this procedure. This study shows a success rate of 96%. One patient required repeat pigtail placement after 6 months for recurrent liver abscesses. Conclusion:This study concludes that drainage of liquefied moderate to large sized liver abscess by USG guided pigtail placement as a minimally invasive procedure with low morbidity and mortality and should be first line of management of liver abscesses.

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Section: Discussionmentioning

confidence: 63%

Ultra-sonography guided pigtail placement for drainage of liver abscess in 40 patients: A retrospective study

Rathod¹,

Parmar²,

Parmar³

et al. 2021

Int. J. Surg. Sci.

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“…In our study, 84% of the abscesses were located in the right lobe of liver, similar to previous studies. 15 As compared to other studies where the number of days the catheter placed was 7-14days. 16 Our study showed increased day of catheterization i.e.…”

Section: Discussionmentioning

confidence: 87%

Image Guided percutaneous pigtail catheter drainage of Liver Abscess technique and its outcome

et al. 2021

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Background: Liver abscesses are localized collections of necrotic inflammatory tissue caused by bacterial, parasitic or fungal agents. These abscesses are usually suspected clinically in cases having fever and tender hepatomegaly. The diagnosis is usually confirmed on the basis of imaging such as ultrasound and computerised tomography. Management includes antimicrobial agents and drainage of abscess. Percutaneous drainage of abscess is done using needle aspiration or catheter drainage. Aims and Objective: The main aim of the study was to evaluate the role of pigtail catheterization drainage procedure as a treatment option in cases of liver abscess. Materials and Methods: It was a prospective study conducted ata tertiary care medical college. Fifty patients having hepatic abscess were included in this study over a period of one year from August 2018 to September 2019 on the basis of a predefined inclusion and exclusion criteria. These patients underwent pigtail catheterization of liver abscess as a treatment. The demographic characteristics, hepatic lobe involvement, offending organisms and complications were studies in these patients. Results: Out of 50 patients 35 were male and 15 were femalewith a M: F ratio of 1:0.42. The age ranged from 4 years to 92 years. The mean age of the studied cases was found to be 38.64 +/- 18.17 years. Right lobe was involved in predominant cases. most common individual organism involved in hepatic abscess formation was klebsiella (30%) followed by streptococcus (20%) and E-coli (8%) organisms. Seven patients developed procedure related complications out of which 5 patients had catheter dislodgment requiring repositioning of catheter 1 patient developed pus discharge from catheter site and remaining 1 patient developed subcapsular hematoma. Conclusion: Percutaneous image guided pigtail catheter of liver abscess is an effective minimal procedure as a treatment option for liver abscess with high success rate with no mortality related to procedure.

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“…Two studies done by Gupta et al and Malik et al observed similar results in the drainage of liver abscess. 13,14…”

Section: Discussionmentioning

confidence: 99%

USG guided pigtail catheter placement for drainage of liver abscess as a minimally invasive procedure

Gurijala

Prasad

2019

Int Surg J

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Background: The objective of the study was to evaluate the advantages of USG guided pigtail catheter placement for drainage of liver abscess as a minimally invasive procedure.Methods: This is a retrospective study conducted in Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, April 2017 to August 2017. It included 45 patients who were diagnosed with solitary liquefied liver abscess. The effectiveness of drainage was determined by doing serial USG scans.Results: Age group varied from 27 to 52 years. Out of 45 patients 41 were men and 4 were women. The male to female ratio was 10:1. All the patients underwent USG guided pigtail catheter insertion for solitary liver abscess. Average hospital stay varied from 2–3 days. No complications were observed during the procedure.Conclusions: This study concludes that drainage of solitary liver abscess by USG guided pigtail placement as a minimally invasive procedure was good in clinically improving the patient’s general condition & decreasing the size of abscess cavity.

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Outcome of ultrasound guided pigtail catheter drainage of liver abscesses a prospective study of 126 cases

Cited by 5 publications

References 23 publications

Ultra-sonography guided pigtail placement for drainage of liver abscess in 40 patients: A retrospective study

Ultra-sonography guided pigtail placement for drainage of liver abscess in 40 patients: A retrospective study

Image Guided percutaneous pigtail catheter drainage of Liver Abscess technique and its outcome

USG guided pigtail catheter placement for drainage of liver abscess as a minimally invasive procedure

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