[Mini-invasive methods in the treatment of abdominal sepsis caused by abdominal cavity abscess]

Area of Science:

• Gastroenterology
• Surgical Procedures
• Critical Care Medicine

Background:

• Abdominal cavity abscess (ACA) is a serious condition often leading to sepsis.
• ACA management requires timely and effective intervention to prevent complications.
• Different types of ACAs, including hepatic, subhepatic, and subdiaphragmatic, present unique challenges.

Purpose of the Study:

• To evaluate the outcomes of treating abdominal cavity abscesses.
• To assess the efficacy of minimally invasive techniques in managing ACA and associated sepsis.
• To analyze the impact of extracorporeal detoxification in severe sepsis cases.

Main Methods:

• Retrospective analysis of 85 patients treated for ACA between 2002 and 2008.
• Classification of ACA locations: hepatic, subhepatic, right/left subdiaphragmatic.
• Interventions included ultrasound-guided puncture-drainage and laparotomy.
• Veno-venous hemodiafiltration used for extracorporeal detoxification in severe sepsis.

Main Results:

• Hepatic abscesses were most common (33.6%), followed by left-sided subdiaphragmatic (21.2%).
• Sepsis was diagnosed in 49.4% of patients, with severe sepsis and polyorganic insufficiency in 29.4% and 21.2%, respectively.
• Minimally invasive interventions (56.5%) resolved sepsis signs within 3-5 days.
• Mortality rate was 14.1%.

Conclusions:

• Ultrasound-guided minimally invasive interventions are effective for treating abdominal cavity abscesses.
• Early application of these techniques can rapidly resolve sepsis.
• Extracorporeal detoxification plays a role in managing severe sepsis associated with ACA.