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Infected intraabdominal hematomas: percutaneous drainage
J García-Vila1, V Sáiz-Pachés, M A Doménech-Iglesias
1Servicio de Radiodiagnóstico, Hospital La Fe, Valencia, Spain.
Abdominal Imaging
|January 1, 1993
Summary
Percutaneous drainage is a viable treatment for infected intraabdominal hematomas, even with potential complications. Careful management and monitoring of drainage tubes ensure successful hematoma resolution.
Area of Science:
- Interventional Radiology
- Abdominal Surgery
- Infectious Diseases
Background:
- Percutaneous drainage of infected intraabdominal hematomas has historically been associated with significant complications.
- Limited data exists on the efficacy and safety of percutaneous drainage for localized infected hematomas.
Purpose of the Study:
- To evaluate the outcomes of percutaneous drainage for infected localized intraabdominal hematomas.
- To assess the safety and effectiveness of this minimally invasive approach.
Main Methods:
- Retrospective analysis of five patients with infected localized hematomas (two in the lesser sac, three in the right subphrenic space).
- Percutaneous drainage was performed using catheters ranging from 8.4 to 24 French.
- Intracavitary urokinase was utilized in one case.
Main Results:
- Complete resolution of hematomas was achieved in all five patients.
- Mean drainage maintenance time was 37 days.
- Drainage tube obstruction occurred in three patients, requiring catheter exchange in two.
Conclusions:
- Percutaneous drainage is a safe and effective treatment option for infected intraabdominal hematomas.
- Close monitoring of drainage tubes is crucial, and longer drainage times may be necessary.
- Intracavitary urokinase may be a beneficial adjunct in select cases.