Study of ultrasound-guided needle aspiration and catheter drainage in the management of liver abscesses

Surya, Mukesh; Bhoil, Rohit; Sharma, Yash Pal

doi:10.1007/s40477-020-00440-3

Cited by 14 publications

(42 citation statements)

References 37 publications

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“…We moved to full-text screening with 37 articles, 22 articles were excluded. Finally, 15 articles met our inclusion criteria (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). The prisma flow chart of the detailed selection process is demonstrated in Figure 1.…”

Section: Search Results and Study Selectionmentioning

confidence: 99%

“…Our review has a few limitations. First, although we included 15 trials, 12 trials were conducted in India (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), one in Egypt (18), another in China (31), and another in Bosnia and Herzegovina (32). Therefore, the geographical distribution of our review population is limited, limiting the generalizability of our findings.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials

Mahmoud¹,

Abuelazm²,

Ahmed³

et al. 2023

Ann Transl Med

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Background Liver abscess is a life-threatening condition. Percutaneous catheter drainage (PCD) and percutaneous needle aspiration (PNA) are both minimally invasive techniques used to manage liver abscess. We aim to compare both techniques’ efficacy and safety. Methods We performed a systematic review and meta-analysis involving randomized controlled trials (RCTs) from PubMed, Embase, Scopus, WOS, Cochrane, and Google scholar until July 22 nd , 2022. We pooled dichotomous outcomes using risk ratio (RR) presented with a 95% confidence interval (CI) and continuous outcomes using mean difference (MD) with 95% CI. We registered our protocol with ID: CRD42022348755. Results We included 15 RCTs with 1,626 patients. Pooled RR favored PCD (RR: 1.21 with 95% CI: 1.11, 1.31, P<0.00001) in success rate and recurrence after six months (RR: 0.41 with 95% CI: 0.22, 0.79, P=0.007). We found no difference in adverse events (RR: 2.2 with 95% CI: 0.51, 9.54, P=0.29). Pooled MD favored PCD in time to clinical improvement (MD: −1.78 with 95% CI: −2.50, −1.06, P<0.00001), time to achieve 50% reduction (MD: −2.83 with 95% CI: −3.36, −2.30], P<0.00001) and duration of antibiotic needed (MD: −2.13 with 95% CI: −3.84, −0.42, P=0.01). We found no difference in the duration of hospitalization (MD: −0.72 with 95% CI: −1.48, 0.03, P=0.06). The results were heterogeneous for all the continuous outcomes which were all measured in days. Conclusions Our updated meta-analysis concluded that PCD is more effective than PNA in liver abscess drainage. However, evidence is still uncertain, and more high-quality trials are still required to confirm our results.

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Section: Search Results and Study Selectionmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials

Mahmoud¹,

Abuelazm²,

Ahmed³

et al. 2023

Ann Transl Med

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“…Compared with other inspection methods, like CT, B-ultrasound has advantages for soft tissue inspection. B-guided puncture and drainage have been widely used in other parts of the body (13)(14)(15)(16). The advantage of this treatment method is that the drainage tube can be inserted under the real-time guidance of B-ultrasound to reach the required location and drain the abscess thoroughly.…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasound-guided puncture drainage and incision drainage for deep neck abscess

Fan¹,

Tao²

2021

Gland Surg

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“…This is attributed to its simplicity, cost-effectiveness, reduced hospital stay, and better results in terms of patient comfort and safety. There is also the added advantage of draining multiloculated liver abscess [ 17 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Large Solitary Pyogenic Liver Abscesses: A Review of Their Management at a Tertiary Care Hospital

Prasad¹,

Ahmad²,

Katyal³

et al. 2022

Cureus

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Background and objectiveLiver abscesses are one of the common surgical diseases to be treated as an emergency in any tertiary care hospital in India. The formation of abscesses in the liver is still a major problem and associated with significant morbidity in developing countries. We come across all types of liver abscesses, such as amoebic (most common), pyogenic, mixed, and occasionally fungal. There have been several studies on the percutaneous modality of treatment for pyogenic liver abscesses. Most of the studies suggest that percutaneous catheter drainage (PCD) offers a better approach than aspirations for treating pyogenic liver abscesses. However, a few recent studies suggest that percutaneous aspiration leads to equally good results when compared to percutaneous drainage. In this study, we aimed to review the management of solitary large pyogenic liver abscesses and to assess the effectiveness of ultrasonography (USG)-guided aspiration in the procedure. MethodsA retrospective study was carried out at the Department of General Surgery of our institute. In this study, a total of 27 patients treated for solitary pyogenic liver abscess were included. All patients with a large liver abscess greater than 5 cm without the features of frank peritonitis were included. These patients were followed up regularly for six months. ResultsThe single-attempt USG-guided aspiration was successful in 70.3% of patients. Repeat USG-guided aspiration was performed in 18.5% of patients. In 7.4% of patients, a USG-guided percutaneous pigtail catheter was placed. And only 3.7% of cases required exploratory laparotomy. ConclusionBased on our findings, USG-guided aspiration is a fairly efficient method for treating a large solitary pyogenic abscess with acceptable results, shorter hospital stays, and minimal complications.

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Study of ultrasound-guided needle aspiration and catheter drainage in the management of liver abscesses

Cited by 14 publications

References 37 publications

Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials

Percutaneous catheter drainage versus needle aspiration for liver abscess management: an updated systematic review, meta-analysis, and meta-regression of randomized controlled trials

Comparison of ultrasound-guided puncture drainage and incision drainage for deep neck abscess

Large Solitary Pyogenic Liver Abscesses: A Review of Their Management at a Tertiary Care Hospital

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