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Updated: Feb 15, 2026
03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
683
Pyogenic liver abscesses: diminished role for operative treatment
N O'Farrell1, C G Collins, G P McEntee
1Department of Hepatobiliary Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
Summary
Pyogenic liver abscesses are uncommon but serious. Radiological intervention and antibiotics are now the primary treatments, with surgery rarely needed, leading to rare mortality.
Area of Science:
- Hepatology
- Interventional Radiology
- Infectious Diseases
Background:
- Pyogenic liver abscess (PLA) is a rare, potentially severe condition.
- Historically treated with open drainage, interventional radiology is now standard.
Purpose of the Study:
- To review patient demographics, predisposing factors, and outcomes of PLA.
- To evaluate the effectiveness of different management strategies, including radiological intervention.
Main Methods:
- Retrospective review of 61 patients with PLA admitted between 1995-2007.
- Analysis of patient demographics, length of stay, causative organisms, and management approaches.
- Recorded imaging techniques and patient management strategies.
Main Results:
- 61 patients experienced 66 PLA admissions; mean age 61 years, 59% male.
- Escherichia coli and Enterococci were the most common organisms.
- 82% of patients underwent radiological intervention (ultrasound or CT-guided).
- Mortality was zero; average hospital stay was 23 days.
Conclusions:
- PLA is uncommon but associated with significant morbidity and prolonged hospitalization.
- Radiological intervention and antimicrobial therapy are the primary treatment modalities.
- Surgical intervention is now infrequently required for PLA management.
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