title: Radiologic drainage of post-operative collections and abscesses.
abstract: Since the initial studies published in the eighties, percutaneous radiologic drainage, is considered the first-line treatment of infected post-operative collections and is successful in over 80% of patients. Mortality due to undrained abscesses is estimated between 45 and 100%. Radiology-guided percutaneous drainage can be performed either with curative intent or to improve patient status prior to re-operation under better conditions. Cross-sectional imaging, using either ultrasound or computed tomography (CT), has changed the management of post-operative complications. Percutaneous drainage is most often performed by interventional radiologists and imaging is essential for road-mapping and guiding the puncture and drainage of intra-abdominal collections. Indeed, such imaging allows both identification of adjacent anatomical structures and determination of the best tract and the safest route. Cooperation between the surgeon and the interventional radiologist is essential to optimize the management and to avoid, if possible, surgery, which is so often difficult in this setting.
authors.affiliation: Service d'imagerie médicale, département de radiologie digestive, CHU Amiens Nord, place Victor-Pauchet, 80054 Amiens cedex 01, France. robert.brice@chu-amiens.fr
authors.forename: B
authors.initials: B
authors.lastname: Robert
authors.forename: T
authors.initials: T
authors.lastname: Yzet
authors.forename: J M
authors.initials: JM
authors.lastname: Regimbeau
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004322:Drainage / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D015641:Radiography, Interventional / Q000379:methods*; D014057:Tomography, X-Ray Computed
keywords: Computed tomography; Percutaneous drainage; Post-operative abscess; Surgery; Ultrasonography