P-528 A comparison of single with double abscess drainage for the treatment of large bacterial liver abscess

1995 ◽  
Vol 3 ◽  
pp. S169
Author(s):  
T YAMAMOTO
2021 ◽  
Vol 09 (01) ◽  
pp. E35-E40
Author(s):  
Sharad Chandra ◽  
Urvashi Chandra

AbstractLiver abscess requiring drainage is conventionally managed by interventional radiology-guided percutaneous drainage (PCD). Radiologically inaccessible abscesses are managed with laparoscopic or open surgery, which carries high rates of morbidity and mortality.EUS-guided transluminal liver abscess drainage is minimally invasive and can be an alternative approach for caudate lobe, segment 4, and left lateral segment abscesses. We report on three consecutive patients with radiologically inaccessible left lobe liver abscess involving the caudate lobe, segment 4, and lateral segment in whom EUS-guided transluminal drainage using a modified technique was successful.


Author(s):  
Sanjay Oak ◽  
Prakash Agarwal ◽  
Sandesh Parelkar

2004 ◽  
Vol 16 (1) ◽  
pp. 71-73 ◽  
Author(s):  
Hiroyuki Hayashi ◽  
Osamu Hosokawa ◽  
Kenji Dohden ◽  
Masakazu Hattori

2015 ◽  
Vol 61 (1) ◽  
pp. 303-308 ◽  
Author(s):  
Takeshi Ogura ◽  
Daisuke Masuda ◽  
Onda Saori ◽  
Takagi Wataru ◽  
Tatsushi Sano ◽  
...  

2015 ◽  
Vol 5 (4) ◽  
pp. 349-351 ◽  
Author(s):  
Hemanta K. Nayak ◽  
Vivek A. Saraswat ◽  
Samir Mohindra ◽  
Raghunandan Prasad ◽  
Arun Karyampudi

2011 ◽  
Vol 23 ◽  
pp. 158-161 ◽  
Author(s):  
TAKAO ITOI ◽  
TIING LEONG ANG ◽  
STEFAN SEEWALD ◽  
SHUJIRO TSUJI ◽  
TOSHIO KURIHARA ◽  
...  

2021 ◽  
Vol 8 (2) ◽  
pp. 637
Author(s):  
Nikhil Tak ◽  
Rajendra Bagree ◽  
Gaurav Jalendra ◽  
Hetish M. Reddy

Background: Liver abscesses are conventionally treated by ultrasonography (USG) guided percutaneous aspiration or drainage under antibiotic cover. We performed laparoscopic liver abscess drainage successfully in patients where medical management and percutaneous drainage had proven inadequate.Methods: Cases were received either from outpatient department (OPD) or were transferred from medical wards. Patients were first treated conservatively and percutaneous aspiration was attempted. Patients not responding to these treatment modalities were considered for diagnostic laparoscopy with drainage of abscess cavity and placement of 28 Fr drain under vision.Results: 20 patients with large liver abscess were treated successfully by laparoscopic drainage. Mean age in the study was 47 years (range 19-70 years) and average hospital stay was 5 days (range 4-12 days). Major postoperative morbidity or deaths were not registered. Patients with ruptured liver abscess, deep seated abscess cavity and medically unfit patients were excluded from the study.Conclusions: Laparoscopic drainage of liver abscesses, in combination with systemic antibiotics is a safe and viable alternative in all patients who require surgical drainage. It helps in the early return of gastrointestinal function and resumption of normal activities also potentially achieving better abscess drainage.


2020 ◽  
Vol 1 ◽  
pp. 10-14
Author(s):  
Volodymyr Shaprynskyi ◽  
Viktor Makarov ◽  
Vasylysa Suleimanova ◽  
Yevhen Shaprynskyi ◽  
Stepan Skalskyi

According to MEDLINE database there were about 1278 papers on liver abscess published in a period from 2001 to 2015. The aim of the study is to improve liver abscess treatment results comparing minimally invasive and traditional operative techniques. Materials and methods. 137 patients were included in the study and divided on two comparison groups. Traditional methods were used for the treatment of 66 participants of the control group (48.2 %). For 71 patients (51.8 %) of the general group the mini-invasive drainages were predominating. Results. Cholangiogenic causes of liver abscesses were found in 41 patients (29.93±3.91 %), cryptogenic ones – in 37 (27.01±3.79 %), haematogenous causes – in 29 (21.17±3.49 %), contact ones – in 16 (11.68±2.75 %), posttraumatic ones – in 11 (8.03±2.32 %) and purulent destruction of metastases – in 3 (2.19±1.25 %). Single abscesses occurred more often – in 117 (85.40±3.02 %), multiple once – in 20 (14.60±3.02 %). Mostly 3, 6 and 7 liver segments were damaged – 19 (13.88±2.95 %), 35 (25.55±3.73 %), 44 (32.12±3.99 %). In control group, the abscess drainage via laparotomy was performed on 58 patients (87.88±4.02 % of 66 ones) versus 21 (29.58±5.42 % of 71 ones) in general group. Percutaneous drainage was used in 8 (12.12±4.02 %) and in 44 (61.97±5.76 %) cases respectively. 6 or 8.45±3.30 % laparoscopic interventions were used only in the general group. Finally, mini-invasive drainages were applied in the greater part of general group - 50 (70.42±5.42 %) versus 8 ones (12.12±4.02 %) in control group. Conclusions. Minimally invasive liver abscess drainages showed a significant reduction of postoperative complications from 24.24±5.27 % in the control group to 12.66±3.95 % in the general group, shortening of hospital terms from 14.6±1 in control to 5.2±0.8 days and decreasing of mortality from 7.58±3.26 % to 2.82±1.96 %.


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