Percutaneous drainage of subphrenic abscess: a review of 62 patients

Ergebnisse der sonographisch-gesteuerten percutanen Drainage intraabdomineller Abscesse im chirurgischen Alltag

“…Sie bietet die Möglichkeit der frühzeitigen Diagnose, der Probepunktion und der percutanen Drainage, verbunden mit einer deutlichen Verringerung von Morbidität und Mortalität [18,24,25]. Sie bietet die Möglichkeit der frühzeitigen Diagnose, der Probepunktion und der percutanen Drainage, verbunden mit einer deutlichen Verringerung von Morbidität und Mortalität [18,24,25].…”

“…Sie bietet die Möglichkeit der frühzeitigen Diagnose, der Probepunktion und der percutanen Drainage, verbunden mit einer deutlichen Verringerung von Morbidität und Mortalität [18,24,25]. Die sonographisch-gesteuerte Absceûdrainage ist mittlerweile eine allgemein akzeptierte Alternative zur chirurgischen Intervention [18,26]. CT mit percutaner Drainage.…”

Intracavitary Urokinase for Enhancement of Percutaneous Abscess Drainage

“…Numerous authors have reported their results using this technique, with only minor variations in the diagnostic methods, guidance techniques, and instrument selection. Haaga and Weinstein [2] reported the first percutaneous drainage using CT guidance, but other authors, including Gerzof et al [3], Jacques et al [4], Lambiase et al [5], Gazelle and Mueller [6], Mueller et al [7], and vanSonnenberg et al [9,10], have described specific techniques and results. During the early development of this technique, some controversy arose over the best imaging technique and, although most radiologists now recognize that any technique may be used for percutaneous drainage, many prefer CT for the diagnosis, staging, and follow-up of abscess drainage.…”

“…To our knowledge, no controlled studies were performed by these groups, so proof of definite benefit from variations in technique was difficult to confirm. Problems with drainage or causes of failure varied among these groups, but authors such as Haaga and Weinstein [2], Gerzof et al [3], Jacques et al [4], Mueller et al [7][8], and vanSonnenberg et al [9] noted that increased viscosity of thick purulent material affected drainage success.…”

“…Although generally successful, specific outcomes of this procedure vary among institutions and authors, depending on the patient selection and the specifics of individual treatment regimens. Technical variations have included different types of imaging guidance and catheters and postprocedural care of drainage catheters [1][2][3][4][5][6][7][8][9][10]. Two abscess properties have been reported consistently by most authors for causing poor results: the presence of infected hematomas and viscous, thick, purulent material.…”