Treatment of abdominal abscesses: comparative evaluation of operative drainage versus percutaneous catheter drainage guided by computed tomography or ultrasound.

Abstract:

:Computed tomography and, to a lesser extent, ultrasonography provide detailed anatomic localization of intra-abdominal abscesses that permit precise percutaneous placement of catheters large enough to effect drainage. Using routes similar to surgical approaches, the authors have used this technique as definitive therapy for intra-abdominal abscesses. To assess its efficacy, the results in the 27 patients treated percutaneously over the last five years have been compared with the results in the 43 patients treated by operative intervention over the past ten years. In the percutaneous group, complications (4%), inadequate drainage (11%), and duration of drainage (17 days) were less than in the operative group (16%, 21% and 29 days respectively). These results indicate that percutaneous drainage is at least as efficacious as operative drainage and avoids the risks of a major operative procedure.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Johnson WC,Gerzof SG,Robbins AH,Nabseth DC

doi

10.1097/00000658-198110000-00014

subject

Has Abstract

pub_date

1981-10-01 00:00:00

pages

510-20

issue

4

eissn

0003-4932

issn

1528-1140

journal_volume

194

pub_type

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