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Related Experiment Videos

Percutaneous abscess drainage: update.

E vanSonnenberg1, G R Wittich, B W Goodacre

  • 1Department of Radiology, Dana Farber Cancer Institute & Brigham and Women's Hospital, Harvard Medical School, 44 Binney St., Boston, MA 02115, USA.

World Journal of Surgery
|May 9, 2001
PubMed
Summary
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Percutaneous abscess drainage (PAD) is the preferred treatment for most abscesses, offering high cure rates. This interventional radiology procedure utilizes imaging for diagnosis and catheterization for effective therapy.

Area of Science:

  • Interventional Radiology
  • Medical Procedures

Background:

  • Percutaneous abscess drainage (PAD) has evolved over two decades.
  • PAD is now the consensus treatment of choice for various abscesses.

Purpose of the Study:

  • To review the indications, efficacy, and techniques of percutaneous abscess drainage.
  • To highlight PAD's role as a primary and adjunctive therapy.

Main Methods:

  • Utilizes imaging modalities like ultrasonography, CT, and fluoroscopy for guidance.
  • Employs various catheters and insertion techniques for drainage.
  • Involves image-guided needling for diagnosis and catheterization for therapy.

Main Results:

  • PAD offers uniform cures for simple unilocular abscesses.

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  • Cure rates for complicated abscesses (e.g., diverticular, pancreatic) range from 65% to 90%.
  • PAD serves as an effective temporizing measure for complex surgical cases.

    • Conclusions:

    • Percutaneous abscess drainage is a highly effective, versatile procedure.
    • PAD is the cornerstone of modern abscess management in interventional radiology.