[Navigation technologies in treatment of intraabdominal abscesses in children]

Khirurgiia
|December 24, 2013
PubMed

Insights

Minimally invasive, ultrasound-guided procedures effectively treat intraabdominal abscesses in children. This technique offers a non-traumatic approach for various abscess locations, improving diagnostics and surgical outcomes.

Area of Science:

  • Pediatric Surgery
  • Interventional Radiology
  • Medical Imaging

Background:

  • Intraabdominal abscesses are common in children.
  • Traditional surgical drainage can be invasive.
  • Minimally invasive techniques are sought for better patient outcomes.

Purpose of the Study:

  • To analyze the efficacy of ultrasound-guided punctures and drainages for intraabdominal abscesses in pediatric patients.
  • To evaluate the impact of abscess localization on diagnostic and interventional techniques.

Main Methods:

  • Retrospective analysis of 45 pediatric patients (aged 1-14 years) undergoing US-guided procedures.
  • Categorization of abscesses by location: subdiaphragmatic, intestinal, and pelvic.
  • Utilization of virtual 3D echography in a subset of patients for enhanced visualization.

Main Results:

  • Ultrasound-guided interventions were performed for subdiaphragmatic (16), intestinal (22), and pelvic (19) abscesses.
  • Detailed descriptions of echographic characteristics, preoperative planning, and intervention techniques based on abscess location.
  • Virtual 3D echography improved diagnostics, surgical access, and intervention scope in 13.3% of cases.

Conclusions:

  • Ultrasound-guided interventional surgery is an effective and minimally invasive treatment for pediatric intraabdominal abscesses.
  • The technique demonstrates adaptability to different abscess locations.
  • This approach offers a non-traumatic alternative to traditional surgical methods.

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