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Published on: October 14, 2022
[Navigation technologies in treatment of intraabdominal abscesses in children]
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.
Abstract:
The results of minimally invasive US-giuded punctures or drainings of intraabdominal abscesses in 45 children, aged 1-14 years, were analyzed. 16 abscesses were subdiaphragmatic, 22 were intestinal and 19 were classified as pelvic. Differences of the echographic characteristics, features of the preoperative planning and techniques of the intervention in dependence of the abscess localization, were thoroughly depicted. The authors used the virtual 3D echography in 13.3% of patients to improve the diagnostics, surgical access and volume of the intervention. Therefore, the US guided interventional surgery remains the effective and nontraumatic means for the treatment of intraabdominal abscesses.
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