Treatment of liver abscesses: A prospective randomized trial

International Journal of Biomedical Research

Ramakant Manolkar¹  Mayank M Mahajan² 

[1]Associate Professor, General Surgery Department, SBKS MIRC Sumandeep Vidhyapeeth Pipariya, Vadodara

[2]Post Graduate student, General surgery Department, SBKS MIRC Sumandeep Vidhyapeeth Pipariya, Vadodara

关键词: Liver abscess;    catheter drainage;    needle aspiration;   

DOI  :  10.7439/ijbr.v7i11.3707

学科分类：基础医学

来源: Scholar Science Journals

【 摘 要 】

Background: The aim of the study was to evaluate the clinical presentation, and to investigate the effectiveness of continuous catheter drainage in comparison to needle aspiration in the treatment of liver abscesses.Methods: This is a prospective randomized comparative study of 60 patients, presented in outpatient and emergency department at the hospital, randomized equally into two groups, percutaneous needle aspiration and pigtail catheter drainage. The effectiveness of either treatment was measured in terms of duration of hospital stay, days to achieve clinical improvement, 50% reduction in abscess cavity size and total/near total resolution of abscess cavity. Independent t-test was used to analyze these parameters.Results: The success rate was significantly better in catheter drainage group (P=0.006). The patients in pigtail catheter drainage group showed earlier clinical improvement (P=0.039) and 50% decrease in abscess cavity volume (P=0.000) as compared to those who underwent percutaneous needle aspiration.Conclusion: Percutaneous catheter drainage is a better modality as compared to percutaneous needle aspiration especially in larger abscesses which are partially liquefied or with thick pus.

【 授权许可】

CC BY