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[Intraabdominal abscesses. Intervention versus surgical treatment]
J Göhl1, J Gmeinwieser, J Gusinde
1Chirurgische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Zentralblatt Fur Chirurgie
|May 18, 1999
Summary
Percutaneous drainage using ultrasound or CT guidance offers an effective alternative to open surgery for intraabdominal abscesses. Success rates vary but can exceed 80% in favorable cases, highlighting the importance of radiologist-surgeon collaboration.
Area of Science:
- Medical Imaging and Interventional Radiology
- Surgical Oncology
- Gastroenterology
Background:
- Intraabdominal abscesses pose significant clinical challenges.
- Conventional open surgery has been the traditional treatment approach.
- Advancements in imaging have improved diagnostic capabilities.
Purpose of the Study:
- To evaluate percutaneous drainage as an alternative to open surgery for intraabdominal abscesses.
- To assess the success rates and influencing factors of interventional management.
- To emphasize the collaborative role of radiologists and surgeons.
Main Methods:
- Diagnosis facilitated by ultrasound and computed tomography (CT) scans.
- Interventional management using percutaneous drainage with flow-suction-catheters.
- Image guidance (sonography or CT) for catheter placement.
Main Results:
- Literature success rates for percutaneous drainage range from 33% to 100%.
- Interventional treatment shows comparable results to conventional surgery in similar patient groups.
- Success rates above 80% are achievable under favorable conditions (e.g., peripheral lesions, uncomplicated access, homogenous collections).
Conclusions:
- Percutaneous drainage is a well-tolerated and effective treatment for intraabdominal abscesses.
- Favorable patient and abscess characteristics significantly impact success rates.
- Close collaboration between radiologists and surgeons is crucial for optimal outcomes.