Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Intra-abdominal sepsis after hepatic resection.

R F Pace1, J I Blenkharn, W J Edwards

  • 1Hammersmith Hospital, Royal Postgraduate Medical School, London, England.

Annals of Surgery
|March 1, 1989
PubMed
Summary

Post-hepatic resection, intra-abdominal sepsis affects 28.6% of patients. Percutaneous drainage is an effective treatment for these infections, offering successful management for hepatic resection complications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Handwash product and handwash technique are equally important.

The Journal of hospital infection·2017
Same author

Small safe steps to prevention.

Public health·2009
Same author

Sharps disposal: a universal responsibility.

The British journal of dermatology·2008
Same author

Airport dermatophytoses.

Public health·2008
Same author

Luminol-based forensic detection of latent blood; an approach to rapid wide-area screening combined with Glo-Germ oil simulant studies.

The Journal of hospital infection·2008
Same author

Sharps injuries in healthcare waste handlers.

The Annals of occupational hygiene·2008

Area of Science:

  • Hepatobiliary Surgery
  • Surgical Infections
  • Abdominal Imaging

Background:

  • Hepatic resection is a major surgical procedure with potential complications.
  • Intra-abdominal sepsis is a significant concern following liver surgery.
  • Understanding risk factors and management strategies is crucial for patient outcomes.

Purpose of the Study:

  • To investigate the incidence and risk factors of postoperative intra-abdominal sepsis after hepatic resection.
  • To evaluate the effectiveness of different management strategies for intra-abdominal infections.
  • To identify common pathogens involved in post-hepatectomy sepsis.

Main Methods:

  • Retrospective review of 130 hepatic resections performed over an 8-year period.
  • Analysis of patient data for evidence of culture-positive intra-abdominal collections.

Related Experiment Videos

  • Identification of independent variables associated with sepsis development.
  • Comparison of treatment outcomes between operative and percutaneous drainage methods.

    • Main Results:

    • 36 out of 126 eligible patients (28.6%) developed culture-positive intra-abdominal collections.
    • Diagnoses of trauma or cholangiocarcinoma and need for reoperation for hemorrhage were significant risk factors.
    • Mixed bacterial cultures were common (50%), with Streptococcus faecalis, Staphylococcus epidermidis, Staphylococcus aureus, and Escherichia coli as frequent isolates.
    • Percutaneous drainage has largely replaced operative drainage and proven effective.
    • Six patients with sterile fluid collections experienced symptom relief after drainage.

    Conclusions:

    • Intra-abdominal sepsis is a frequent complication after hepatic resection.
    • Risk factors include trauma, cholangiocarcinoma, and postoperative hemorrhage requiring reoperation.
    • Nonoperative percutaneous drainage is an effective and successful management strategy for most cases.