[Percutaneous drainage of abdominal abscesses].
Percutaneous drainage has been widely accepted as the preferred treatment for abdominal abscess. Indications have been clarified recently and the absence of a secure route is the only absolute contraindication. We performed this procedure in 65 patients with abdominal abscess at different locations: liver 27, subphrenic 33, lesser cavity 3 and perirenal 3. Overall success rate was 85%, with 89% for liver and 88% for the subphrenic location. Six patients died of multisystemic failure even though the abscess was properly drained. Four patients were operated on for persistent abscess. A pancreatic fistula was shown in 1 and a peritoneal hydatid cyst was the original lesion in the other. Pneumothorax occurred in 5 patients requiring drainage in 2. Two other patients developed hydro-pneumothorax and empyema, that was drained. The overall complication rate was 14%. Thus, percutaneous drainage is a simple and highly successful treatment for abdominal abscess. Results are influenced by the accuracy of diagnosis and a proper selection of patients.
Fernández
M
M
Departamento de Cirugía, Hospital Clínico Universidad de Chile, Santiago.
Ortega
D
D
Darrás
A
A
Gallardo
S
S
Yarmuch
J
J
D000005:Abdomen; D000038:Abscess / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013369:Subphrenic Abscess / Q000628:therapy
Drenaje percutaneo de abscesos abdominales.