Percutaneous drainage of 335 consecutive abscesses: results of primary drainage with 1-year follow-up.
Retrospective review of percutaneous abscess drainage (PAD) of 335 abscesses in 323 consecutive patients was undertaken. Particular attention was directed to body location, associated organ system, communications and fistulae, and to the underlying immunologic status of the patient. One-year follow-up was available in all patients. Overall, the cure rate was 62.4% (209 of 335 abscesses), with a failure rate of 8.95% (30 of 335 abscesses). There were 14.2% (46 of 323 patients) deaths in the follow-up period, of which 4.6% (15 of 323 patients) were believed attributable to sepsis or septic complications. The overall complication rate was 9.8% (33 of 335 abscesses), most of which were minor in nature. For the patient exhibiting immunocompromise, representing 53.1% (172 of 323 patients) of the patient population, the cure rate was 53.4% (95 of 178 abscesses), which was significantly lower than the cure rate of 72.6% (114 of 157 abscesses) for the immunocompetent patient population (n = 151) (P less than .001). The recurrence rate was 2.1% (seven of 335 abscesses), with all recurrences within 3 months of initial drainage. PAD is effective and permanent treatment for both immunocompromised and immunocompetent patients.
Lambiase
R E
RE
Department of Diagnostic Imaging, Rhode Island Hospital, Providence.
Deyoe
L
L
Cronan
J J
JJ
Dorfman
G S
GS
D000038:Abscess / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007410:Intestinal Diseases / Q000601:surgery; D007674:Kidney Diseases / Q000601:surgery; D008100:Liver Abscess / Q000601:surgery; D008169:Lung Abscess / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010182:Pancreatic Diseases / Q000601:surgery; D012008:Recurrence; D012189:Retrospective Studies; D013158:Splenic Diseases / Q000601:surgery; D013369:Subphrenic Abscess / Q000601:surgery; D013997:Time Factors