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[Ultrasound-guided puncture. A modern treatment of liver abscess]
Annales De Chirurgie
|January 1, 1989
Abstract:
The treatment of liver abscesses has benefitted from progress in imaging, particularly ultrasonography which allows simple and reliable aspiration and drainage. A series of 32 cases is reported, consisting of 29 pyogenic abscesses and 3 amoebic abscesses. Eighty-one per cent of patients were cured by aspiration and/or drainage, while 19% of patients had to be operated. The mean hospital stay was 11 days. Failures of ultrasound-guided aspiration are essentially due to multifocal abscesses caused by multiple organisms.
Insights
Ultrasonography-guided aspiration and drainage effectively treat most liver abscesses. However, multifocal abscesses caused by multiple organisms may require surgery.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Hepatology
Context:
- Liver abscess treatment has advanced with imaging technologies.
- Ultrasonography enables precise aspiration and drainage of liver abscesses.
- A study reviewed 32 cases of liver abscesses (29 pyogenic, 3 amoebic).
Purpose:
- To evaluate the efficacy of ultrasound-guided aspiration and drainage for liver abscesses.
- To analyze treatment outcomes and identify factors influencing success.
Summary:
- Eighty-one percent of patients with liver abscesses achieved cure through aspiration and/or drainage.
- Nineteen percent of patients required surgical intervention.
- The average hospital stay for treated patients was 11 days.
Impact:
- Ultrasound-guided procedures offer a high success rate for liver abscess management.
- Multifocal abscesses and polymicrobial infections are associated with treatment failure.
- This minimally invasive approach reduces the need for surgery in most liver abscess cases.