title: Percutaneous drainage of 300 intraperitoneal abscesses with long-term follow-up.
abstract: The purpose of the study was to evaluate the efficacy of percutaneous drainage of intraperitoneal abscesses with attention to recurrence and failure rates. A retrospective analysis of percutaneous treatment of 300 intraperitoneal abscesses in 255 patients (147 male, 108 female; average age: 38 years; range: 40 days to 90 years) for whom at least 1-year follow-up data were available was performed. Abscesses were drained with fluoroscopic, sonographic, or computed tomographic guidance. Nine abscesses were drained by simple aspiration; catheter drainage either by Seldinger or trocar technique was used in the remaining 291 abscesses with 6F to 14 F catheters. Initial cure and failure rates were 68% (203/300) and 12% (36/300), respectively. Sixty-one abscesses (20%) were either palliated or temporized. The recurrence rate was 4% (12/300) and nine of them were cured by recatheterization, whereas three of them were treated by medication or surgery. The overall success and failure rates were 91% (273/300) and 9% (27/300), respectively, with temporized, palliated, and recatheterized recurred abscesses. The 30-day mortality rate was 3.1% (8/255). The mean duration of catheterization was 13 days. Intraperitoneal abscesses with safe access routes should be drained percutaneously because of high success and low morbidity, mortality, and recurrence rates.
authors.affiliation: Department of Radiology, Hacettepe Medical School, Sihhiye, Ankara, 06100, Turkey.
authors.forename: Devrim
authors.initials: D
authors.lastname: Akinci
authors.forename: Okan
authors.initials: O
authors.lastname: Akhan
authors.forename: Mustafa N
authors.initials: MN
authors.lastname: Ozmen
authors.forename: Nevzat
authors.initials: N
authors.lastname: Karabulut
authors.forename: Orhan
authors.initials: O
authors.lastname: Ozkan
authors.forename: Barbaros E
authors.initials: BE
authors.lastname: Cil
authors.forename: Musturay
authors.initials: M
authors.lastname: Karcaaltincaba
mesh_terms: D000038:Abscess / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005402:Fistula / Q000150:complications / Q000628:therapy; D005471:Fluoroscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D055502:Secondary Prevention; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014463:Ultrasonography