Percutaneous drainage of retroperitoneal abscesses: variables for success, failure, and recurrence

Akhan, Okan; Durmaz, Hasanali; Balcı, Sinan; Birgi, Erdem; Çiftçi, Türkmen; Akıncı, Devrim

doi:10.5152/dir.2019.19199

Cited by 16 publications

(17 citation statements)

References 32 publications

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“…Total fifty-eight cases having Psoas muscle abscess were studied, and the average age of study subjects of group A was 38.5+10. 5 16 observed that the percutaneous drainage is the reliable treatment option for the abscess of retroperitoneal due to elimination of need for general anesthesia, better toleration and less morbidities inContact to surgical methods.…”

Section: Resultsmentioning

confidence: 99%

Outcome of Percutaneous Ultrasound Guided Aspiration versus Open Surgical Drainage of Psoas Muscle Abscess

Khatoon

Ahmedani

Unar³

et al. 2021

Ann Pak Inst Med Sci

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Objective: To compare the outcome of percutaneous ultrasound guided aspiration V/S open surgical drainage for psoas muscle abscess. Methodology: This comparative study was conducted in department of general surgery at Liaquat medical university hospital Hyderabad/Jamshoro, from June 2017 to November 2017. Diagnosed Patients of psoas muscle abscess size more than 5cm, between 18 to 60 years of age and either of gender were included. Patients were randomly divided into two groups, A and B by odd and even method, patients in group A abscess was aspirated by percutaneous ultrasound guided aspiration and patients in group B was underwent open surgical drainage, all the data were entered in the pre designed performa and analyzed into SPSS V:16.0 Results: A total of 58 patients of Psoas muscle abscess were selected, the mean age of study subjects of group A was 38.5+10.5 and group B was 36.5+12.7 (p-673). Early post-operative pain relief was assessed among patients of group A as compared to group B. As per outcome resolution of abscess cavity was significantly high among patients of group B (p-0.004), while post-operative Hospital stay was significantly lower in group A (p-0.002). Conclusion: Both techniques has their own benefits like percutaneous aspiration has shorter duration of hospital stay while in complete resolution of abscess cavity was found in open surgical drainage group of patients.

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Section: Resultsmentioning

confidence: 99%

Outcome of Percutaneous Ultrasound Guided Aspiration versus Open Surgical Drainage of Psoas Muscle Abscess

Khatoon

Ahmedani

Unar³

et al. 2021

Ann Pak Inst Med Sci

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“…The surgical procedure of choice, according to Ricci et al [ 9 ] in 1986, was abscess drainage through a lower abdominal muscle-splitting, extraperitoneal incision. In more recent years, with the evolution of interventional radiology, minimally invasive percutaneous drainage of retroperitoneal abscesses, including IPA, is the treatment method of choice[ 11 ]. This approach is preferred especially for immunocompromised patients, as it eliminates the need for general anesthesia and is also associated with a shorter hospital stay, minimizing morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive outpatient management of iliopsoas muscle abscess in complicated spondylodiscitis

Fesatidou¹,

Petsatodis²,

Kitridis³

et al. 2022

WJO

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BACKGROUND Iliopsoas muscle abscess (IPA) and spondylodiscitis are two clinical conditions often related to atypical presentation and challenging management. They are both frequently related to underlying conditions, such as immunosuppression, and in many cases they are combined. IPA can be primary due to the hematogenous spread of a microorganism to the muscle or secondary from a direct expansion of an inflammatory process, including spondylodiscitis. Computed tomography-guided percutaneous drainage has been established in the current management of this condition. AIM To present a retrospective analysis of a series of 8 immunocompromised patients suffering from spondylodiscitis complicated with IPA and treated with percutaneous computed tomography-guided drainage and drain insertion in an outpatient setting. METHODS Patient demographics, clinical presentation, underlying conditions, isolated microorganisms, antibiotic regimes used, abscess size, days until the withdrawal of the catheter, and final treatment outcomes were recorded and analyzed. RESULTS All patients presented with night back pain and local stiffness with no fever. The laboratory tests revealed elevated inflammatory markers. Radiological findings of spondylodiscitis with unilateral or bilateral IPA were present in all cases. Staphylococcus aureus was isolated in 3 patients and Mycobacterium tuberculosis in 2 patients. Negative cultures were found in the remaining 3 patients. The treatment protocol included percutaneous computed tomography-guided abscess drainage and drain insertion along with a course of targeted or empiric antibiotic therapy. All procedures were done in an outpatient setting with no need for patient hospitalization. CONCLUSION The minimally invasive outpatient management of IPA is a safe and effective approach with a high success rate and low morbidity.

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“…The clinical success rate of PCD is between 62 and 100%, according to several studies [ 3 , 17 , 18 ]. Accordingly, the curative drainage can be established in approximately 80% of the patients, and the partial success can be shown in an additional 5-10%.…”

Section: Discussionmentioning

confidence: 99%

“…and 10.5% by Akhan et al . ), we found a significant difference between the recurrence rates in iatrogenic abscesses (23.5%) and non-iatrogenic abscesses (3.3%) [ 3 , 17 ]. Anatomical location may be another determinant of clinical success.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous catheter drainage in retroperitoneal abscesses: a single centre’s 8-year experience

Yıldırım

Karakaş

2022

Pol J Radiol

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Purpose We have investigated the technical and clinical success of percutaneous catheter drainage (PCD) in retroperitoneal abscesses and factors that may affect the outcome. Material and methods The study cohort included 45 patients (17 females and 29 males, with mean age of 56.3 years) that were treated between 2012 and 2020. Forty-seven abscesses were managed with PCD under ultrasonography, computed tomography, or fluoroscopy guidance. Patients’ demographics, lesion locations, predisposing factors, clini-cal presentation, etiology, radiological findings, technical factors, and outcome parameters were presented using exploratory and descriptive statistics. Results Abscesses were located in the psoas ( n = 25, 55.3%), renal-perirenal ( n = 7, 14.8%), and pararenal ( n = 14, 29.7%) compartments. The mean preprocedural volume was 263.3 (30-1310) ml. Pain (abdominal and back) (57.4%) and fever (17%) were the most frequent presenting symptoms. The most common predisposing factors were previous surgery ( n = 17, 36.1%) and diabetes mellitus ( n = 11, 25.5%). Clinical success was attained in 89.3% of abscesses (definitive treatment 72.3% and partial success 17.0%). There was a statistically significant difference between the iatrogenic and non-iatrogenic groups regarding clinical success ( p = 0.031). No mortality was encountered. The complication rate was 6.6% and were all minor. The average rate of recurrence was 10.6%. The mean time to catheter removal was 15.8 ± 13.2 days. Conclusions PCD is a safe and effective procedure in the treatment of retroperitoneal abscesses. Procedure-related mortality, morbidity, and complication rates are low. Underlying etiology is a significant factor affecting the outcome. Nevertheless, PCD may provide definitive treatment in the majority of patients.

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Percutaneous drainage of retroperitoneal abscesses: variables for success, failure, and recurrence

Cited by 16 publications

References 32 publications

Outcome of Percutaneous Ultrasound Guided Aspiration versus Open Surgical Drainage of Psoas Muscle Abscess

Outcome of Percutaneous Ultrasound Guided Aspiration versus Open Surgical Drainage of Psoas Muscle Abscess

Minimally invasive outpatient management of iliopsoas muscle abscess in complicated spondylodiscitis

Percutaneous catheter drainage in retroperitoneal abscesses: a single centre’s 8-year experience

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