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Results of ultrasound-guided percutaneous drainage of intra-abdominal abscesses in everyday surgical practice

Summary.

The results of a retrospective study concerning percutaneous catheter drainage of 62 intra-abdominal abscesses in 60 patients were demonstrated, including the procedure and complications. For the first access a thin needle was used to perform an aspiration biopsy under sonographic control. We placed a pigtail or van Sonnenberg catheter by Seldinger or trocar technique into the abscesses. The primary success rate of percutaneous drainage was 85%. Complications occurred in 6.4% of the cases with a mortality of 0%. This method is an acceptable alternative to surgery for many patients. Ultrasound-guided percutaneous catheter drainage is the method of choice for uncomplicated abscesses, especially in the critically ill patient.

Summary.

In a retrospective study, the indications, results and complications of 62 sonographically guided, percutaneous abscess drainages in 60 patients were examined. First, a test puncture was performed under sonographic control. Then, using the same technique, a pigtail or van Sonnenberg catheter in Seldinger or trocar technique could be introduced into the behavior with the aid of a puncture transducer. Percutaneous drainage had a primary success rate of 85% with a complication rate of 6.4%. The method-specific lethality was 0%. The presented method represents a sensible alternative to surgical therapy if there are strict indications. The ultrasound-controlled, percutaneous abscess drainage is the method of first choice, especially for critically ill patients.

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Affiliations

  1. Surgical University Clinic and Polyclinic (Director: Prof. Dr. Dr. h. C. V. Schumpelick) at RWTH Aachen University, XX

    M. Jansen, S. Truong, K. P. Riesener, P. Sparenberg & V. Schumpelick

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Jansen, M., Truong, S., Riesener, K. et al. Results of ultrasound-guided percutaneous drainage of intra-abdominal abscesses in everyday surgical practice. surgeon70, 1168-1171 (1999). https://doi.org/10.1007/s001040050881

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  • Key words: Percutaneous
  • drainage
  • Ultrasound
  • Intra-abdominal abscess.
  • Keywords: percutaneous drainage
  • Sonography
  • intra-abdominal abscess.