Percutaneous Hepatic Abscess Drainage: Do Multiple Abscesses or Multiloculated Abscesses Preclude Drainage or Affect Outcome?

Liu, Chang-Hsien; Gervais, Debra A.; Hahn, Peter F.; Arellano, Ronald S.; Uppot, Raul N.; Müeller, Peter R.

doi:10.1016/j.jvir.2009.04.062

Cited by 87 publications

(80 citation statements)

References 15 publications

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“…High success rates have been described after repeated needle puncture drainage and after PD with temporary insertion of a drain, even in multiple or multi-loculated abscesses [13][14][15]. A study reported a frequency of 85%-90% successful treatment with percutaneous abscess drainage in children which was reported to be similar to that in adults [8].…”

Section: Discussionmentioning

confidence: 98%

Percutaneous drainage of abdominal fluids using available materials: University of Benin teaching hospital experience

et al. 2014

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Section: Discussionmentioning

confidence: 98%

Percutaneous drainage of abdominal fluids using available materials: University of Benin teaching hospital experience

et al. 2014

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“…Few series in the literature have experienced similar problem with the small bore pigtail catheters. [34][35][36][37][38] We recommend that 12-14 F pigtail catheters are adequate size to be used for the procedure. The overall success rate of the procedure was 94%.…”

Section: Discussionmentioning

confidence: 99%

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

2015

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Background: With the advances in the intervention radiological techniques the laparotomy for liver abscess has been taken over by the percutaneous ultrasound guided needle aspiration as well as percutaneous ultrasound guided pigtail catheter drainage. This study was undertaken at Govt. Medical College & Associated hospitals, Jammu to assess the outcome of this minimally invasive procedure for Liver abscess. Methods: 126 patients were subjected to pigtail catheter drainage after localization with ultrasonography using modified Seldinger's technique. The pigtail catheters of 8-14 Fr size was were used. All the samples of pus were subjected to microscopy for EH trophozoites, Gram stain and for pus culture and sensitivity. Patient's vitals were monitored for 24 hours. Daily estimation of volume, colour and consistency of the drainage fluid was recorded. Follow-up USG was done on average of 5th postoperative day to assess the shrinkage of cavity and the amount of residual fluid. Removal of catheter was decided based on; the amount of pus drained (<50 ml for three consecutive days); disappearance of symptoms & signs; and USG abdomen showing signs of resolution. Results: The age of the patients in this study ranged from the 21 years to 70 years with M: F ratio of 13.5: 1. Pain, fever, tender hepatomegaly & anaemia were common symptomatology. Right lobe abscess was seen in 74.60% (n=94) of patients. Solitary abscess was seen in 110 patients (87.3%). 66 patients (52.38%) had ALA, 18 patients PLA & 42 were having indeterminate liver abscess. Smaller size catheter specially 8-10 Fr invariably blocks. Common problems encountered were local pain or discomfort due to catheter, peri-tubal leak in few cases, and local wound infection. The average period of continuous catheter drainage was 7.2 days maximum being 26 days. Average duration of hospital stay was 2.45 days. Success rate of the procedure was 96.82% (n=122). 04 patients needed laparotomy. Conclusions: Advances in interventional radiology have influenced management of liver abscess. We in our series of 126 pts of liver abscess conclude that image guided percutaneous pigtail drainage of liver abscess is a safe, effective minimally invasive procedure with negligible morbidity and no mortality. High procedural success rate has almost replaced conventional laparotomy in uncomplicated liver abscess.

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“…Five retrospective comparative studies were found evaluating drainage interventions for management of complicated hepatic abscesses. [6][7][8][9][10][11] These were reviewed as being the highest-level evidence available. The most relevant studies are described below.…”

Section: Related Literaturementioning

confidence: 99%

“…A study by Liu et al in 2009 11 retrospectively examined 149 patients with hepatic abscesses. They compared rates of symptomatic improvement in patients divided into the following groups: 1) single uniloculated abscess, 2) single multiloculated abscesses, and 3) multiple multiloculated abscesses.…”

Section: A Study By Ferraioli Et Al In 2008mentioning

confidence: 99%

Multiple doctors, different recommendations for multiloculated pyogenic hepatic abscesses

Kim

2018

Clin. Res. Pract.

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Percutaneous Hepatic Abscess Drainage: Do Multiple Abscesses or Multiloculated Abscesses Preclude Drainage or Affect Outcome?

Cited by 87 publications

References 15 publications

Percutaneous drainage of abdominal fluids using available materials: University of Benin teaching hospital experience

Percutaneous drainage of abdominal fluids using available materials: University of Benin teaching hospital experience

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

Multiple doctors, different recommendations for multiloculated pyogenic hepatic abscesses

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