Document Detail


Percutaneous drainage of fluid collections in the extremities.
MedLine Citation:
PMID:  9646808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To analyze the results of percutaneous drainage of fluid collections in the extremities. MATERIALS AND METHODS: From 1990-1997, 28 patients aged 14-90 years underwent percutaneous drainage of 33 fluid collections in the extremities; two patients underwent multiple drainages. Fluid collections were in the hip-groin area (n = 16), thighs (n = 6), buttocks (n = 6), knees (n = 3), calf (n = 1), and axilla (n = 1). Three intraarticular collections were included. The patients who had undergone prior procedures were eight who had undergone surgical drainage, 10 who had undergone needle aspiration, and one who had undergone surgical débridement. The two most common guidance methods of catheter placement were ultrasound localization and fluoroscopy. RESULTS: The average drainage duration was 18.2 days (range, 1-93 days). The estimated cavity sizes were 4-733 cm3. Purulent fluid was drained in 13 patients. Staphylococcus aureus was the most commonly identified organism (n = 9). Nine patients had postoperative lymphoceles; five of these patients underwent sclerotherapy. Two (7%) patients had two complications, one of which was major. Failure occurred in four (16%) of 25 patients; two needed repeat drainage for recurrence, and two needed subsequent surgery. Success could not be determined in three patients who were lost to follow-up. CONCLUSION: Percutaneous drainage of fluid collections in the extremities is an effective alternative to open-incision drainage in inpatients and outpatients.
Authors:
H P Wu; T M Vesely
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  208     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-07-22     Completed Date:  1998-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  159-65     Citation Subset:  AIM; IM    
Affiliation:
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Axilla / surgery
Buttocks / surgery
Catheterization / instrumentation
Drainage / methods*
Extremities / surgery*
Exudates and Transudates
Female
Fluoroscopy
Follow-Up Studies
Groin / surgery
Hip / surgery
Humans
Knee / surgery
Leg / surgery
Lymphocele / surgery
Male
Middle Aged
Needles
Radiography, Interventional
Recurrence
Staphylococcal Infections / surgery
Suction / instrumentation
Synovial Fluid
Thigh / surgery
Time Factors
Treatment Outcome
Ultrasonography, Interventional

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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