Document Detail


Postoperative intraabdominal abscesses: percutaneous versus surgical treatment.
MedLine Citation:
PMID:  8950379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The optimal treatment of postoperative intraabdominal abscesses has not yet been defined and mortality and morbidity remain high. In this retrospective study 2.310 laparotomies were reviewed. The records of 39 patients with postoperative intraabdominal abscesses (1.6%) are reported and the results obtained in percutaneous drainage (PD, n = 27) versus surgical drainage (SD, n = 10) are compared. The choice of drainage was made after consultation with the interventional radiologist, and PD was preferred in single, well-defined abscesses. Two patients had prompt spontaneous resolution of the abscess. The two groups were homogeneous for age, sex and postoperative day of abscess diagnosis. There was no difference in severity of illness assessed by Acute Physiologic Score (APS) between PD and SD groups (7.9 vs 9.3). No significant difference was found in mortality (11% vs 20%), morbidity (11% vs 40%) and duration of drain tube (14 vs 15 days) between PD group and SD group. This study confirms the data of recent retrospective stratified series: PD and SD are equally efficacious to cure postoperative intraabdominal abscesses. However, PD should be the treatment of choice because of its lower invasiveness and cost.
Authors:
A Bufalari; G Giustozzi; L Moggi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  96     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    1996 Sep-Oct
Date Detail:
Created Date:  1997-01-09     Completed Date:  1997-01-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  197-200     Citation Subset:  IM    
Affiliation:
Department of Surgery and Surgical Emergencies, Unversity of Perugia, Italy.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Abscess / diagnosis,  surgery*,  therapy
Adult
Aged
Aged, 80 and over
Drainage / methods*
Female
Humans
Laparotomy
Male
Middle Aged
Postoperative Complications / surgery*,  therapy
Retrospective Studies
Subphrenic Abscess / surgery
Tomography, X-Ray Computed
Ultrasonography

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


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