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

Selective management of subphrenic abscesses.

K B Deck, T V Berne

    Archives of Surgery (Chicago, Ill. : 1960)
    |October 1, 1979
    PubMed
    Summary

    Extraserous drainage is effective for subphrenic abscesses, but transperitoneal surgery may reveal hidden conditions. Clinical assessment guides the best surgical approach for subphrenic abscess treatment.

    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

    Obesity should not influence the management of appendicitis.

    Surgical endoscopy·2008
    Same author

    Prophylactic antibiotics after severe trauma: more is not better.

    International surgery·2002
    Same author

    Reliable variables in the exsanguinated patient which indicate damage control and predict outcome.

    American journal of surgery·2002
    Same author

    Healing of traumatic diaphragm injuries: comparison of laparoscopic versus open techniques in an animal model.

    The Journal of surgical research·2001
    Same author

    Old age as a criterion for trauma team activation.

    The Journal of trauma·2001
    Same author

    TRISS methodology: an inappropriate tool for comparing outcomes between trauma centers.

    Journal of the American College of Surgeons·2001

    Area of Science:

    • Abdominal Surgery
    • Infectious Disease Management

    Background:

    • Subphrenic abscesses are common postoperative complications.
    • Extraserous drainage is a widely accepted treatment modality.

    Purpose of the Study:

    • To compare the efficacy of extraserous versus transperitoneal drainage for subphrenic abscesses.
    • To evaluate the incidence of heterotopic and recurrent abscesses with each approach.

    Main Methods:

    • Retrospective analysis of 44 patients with postoperative subphrenic abscesses.
    • Drainage approach (extraserous or transperitoneal) selected based on clinical circumstances.
    • Assessment of complications, heterotopic abscesses, and need for further procedures.

    Main Results:

    • Extraserous drainage in 28 patients showed low rates of heterotopic and recurrent abscesses.
    • Transperitoneal drainage in 16 patients had no serious soilage complications but did not eliminate inadequate drainage or heterotopic abscesses.
    • 13 patients required celiotomy prior to definitive abscess localization, and 5 patients died.

    Conclusions:

    • The choice of operative approach for subphrenic abscesses should be individualized.
    • Clinical assessment, especially the likelihood of multicentric intra-abdominal pathology, is crucial in selecting the optimal drainage strategy.

    Related Experiment Videos