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[Percutaneous drainage of abscesses after stomach surgery]
R Grote1, H Milbradt, P Reimer
1Abteilung Diagnostische Radiologie I, Medizinische Hochschule Hannover.
Abstract:
Fifteen abscesses following various types of gastric surgery in 14 patients were treated by three different methods: 1. Multiple puncture under sonographic control, with complete drainage of the abscess. 2. The introduction of a catheter. 3. In the presence of a fistula, introduction of a catheter into the abscess through the fistula. Amongst the 14 patients, one had to undergo further surgery because of intestinal bleeding. In the other patients, there was complete healing without any complications or further surgery.
Insights
Percutaneous drainage effectively treated gastric surgery abscesses in 14 patients. Most patients healed completely without complications, demonstrating a minimally invasive approach for post-gastric surgery infections.
Area of Science:
- Gastroenterology
- Surgical Infections
- Interventional Radiology
Context:
- Post-gastric surgery complications
- Intra-abdominal abscess formation
- Management of surgical site infections
Purpose:
- To evaluate the efficacy of minimally invasive drainage techniques for post-gastric surgery abscesses.
- To compare different percutaneous drainage methods.
- To assess patient outcomes and complication rates.
Summary:
- Fifteen abscesses in 14 patients post-gastric surgery were treated using sonographically guided multiple puncture drainage, catheter introduction, or fistula-guided catheterization.
- One patient required re-operation due to intestinal bleeding; all other patients achieved complete healing without further complications.
- The study highlights successful management of gastric surgery-related abscesses through interventional techniques.
Impact:
- Minimally invasive drainage offers a safe and effective alternative to open surgery for post-gastric abscesses.
- Sonographic guidance and catheter-based interventions improve abscess treatment outcomes.
- Reduced need for re-operation and complications in managing complex surgical site infections.