[Nonsurgical therapy of abdominal and retroperitoneal abscesses].
From 1976 to March 1987 intraabdominal or retroperitoneal abscesses were confirmed by ultrasound in 40 patients. 13 patients had surgical drainage with zero-mortality. 3 of 27 patients were treated with antibiotics (only systemically). 24 patients were treated by percutaneous catheter drainage or needle aspiration. Elective cholecystectomy was performed later in 3 patients. Nonsurgical treatment was successful in 22/27 cases. 3 patients died despite percutaneous drainage. Failure of percutaneous drainage required surgical intervention in 3 patients. The considerably poorer primary condition of the patients receiving nonsurgical treatment allows no comparison with the surgical group. Advantages of percutaneous drainage and needle aspiration are a high success rate and low mortality. These techniques can be used even in critically ill persons.
Reuss
J A
JA
Innere Abteilung des Kreiskrankenhauses Böblingen.
Seitz
K
K
D000005:Abdomen; D000038:Abscess / Q000188:drug therapy / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy; D008100:Liver Abscess / Q000628:therapy; D010182:Pancreatic Diseases / Q000628:therapy; D010532:Peritoneal Diseases / Q000628:therapy; D012187:Retroperitoneal Space; D013158:Splenic Diseases / Q000628:therapy; D013369:Subphrenic Abscess / Q000628:therapy; D013396:Suction
D000900:Anti-Bacterial Agents
Nichtoperative Therapie abdomineller und retroperitonealer Abszesse.