scholarly journals Transanal Drainage of Coloanal Anastomotic Leaks

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Bradley Sherman ◽  
Mark Arnold ◽  
Syed Husain
Keyword(s):  
Percutaneous Drainage ◽  
Therapeutic Approach ◽  
Fecal Diversion ◽  
Operative Intervention ◽  
Anastomotic Leaks ◽  
Catheter Drainage ◽  
Generalized Peritonitis

The conventional operative intervention for leaks following coloanal anastomoses has been proximal fecal diversion with or without take-down of anastomosis. A few of these cases are also amenable to percutaneous drainage. Ostomies created in this situation are often permanent, specifically in cases where coloanal anastomoses are taken down at the time of reoperation. We present two patients who developed perianastomotic pelvic abscesses that were treated with transanal large bore catheter drainage resulting in successful salvage of coloanal anastomoses without the need for a laparotomy or ostomy creation. We propose this to be an effective therapeutic approach to leaks involving low coloanal anastomoses in the absence of generalized peritonitis.

Management of Acute Anastomotic Leaks

2021 ◽  
Author(s):  
Traci L. Hedrick ◽  
William Kane
Keyword(s):  
Anastomotic Leak ◽  
Surgical Management ◽  
Conservative Management ◽  
Percutaneous Drainage ◽  
Patient Specific ◽  
Anastomotic Leaks ◽  
Degree Of Contamination ◽  
Stoma Creation ◽  
Colorectal Stenting ◽  
Endoscopic Clipping

AbstractManagement of the acute anastomotic leak is complex and patient-specific. Clinically stable patients often benefit from a nonoperative approach utilizing antibiotics with or without percutaneous drainage. Clinically unstable patients or nonresponders to conservative management require operative intervention. Surgical management is dictated by the degree of contamination and inflammation but includes drainage with proximal diversion, anastomotic resection with end-stoma creation, or reanastomosis with proximal diversion. Newer therapies, including colorectal stenting, vacuum-assisted rectal drainage, and endoscopic clipping, have also been described.

Image-guided percutaneous drainage vs. surgical repair of gastrointestinal anastomotic leaks: is there a difference in hospital course or hospitalization cost?

2014 ◽  
Vol 40 (5) ◽  
pp. 1279-1284 ◽  
Author(s):  
Lauren M. B. Burke ◽  
Mustafa R. Bashir ◽  
Carly S. Gardner ◽  
Arthur A. Parsee ◽  
Daniele Marin ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Surgical Repair ◽  
Anastomotic Leaks ◽  
Hospitalization Cost ◽  
Image Guided

scholarly journals TRANSSPLENIC DRAINAGE OF ABSCESSES AND POSTNECROTIC CYSTS OF TAIL OF PANCREAS

2016 ◽  
Vol 175 (6) ◽  
pp. 48-51
Author(s):  
M. P. Korolyov ◽  
R. G. Avanesyan ◽  
E. A. Mikhailova
Keyword(s):  
Percutaneous Drainage ◽  
Single Stage ◽  
Catheter Drainage

The authors designed and introduced into practice the method of percutaneous transsplenic drainage with single-stage installation of two drainages. The developed method allowed extension of indications for percutaneous drainage of liquid formations in the area of tail of pancreas in patients, whose the only possible way of mini-invasive percutaneous drainage was the transsplenic way. The method gives an option to apply this technique of percutaneous transsplenic catheter drainage of liquid formations in the area of tail of pancreas avoiding the more traumatic open methods of drainage.

scholarly journals Adjuvant urokinase: percutaneous drainage of post lower segment cesarean section intra-abdominal abscess

2019 ◽  
Vol 8 (5) ◽  
pp. 2125
Author(s):  
Shweta Avinash Khade ◽  
Balaji Jadhav ◽  
Preeti Meena
Keyword(s):  
Percutaneous Drainage ◽  
Ultrasound Guidance ◽  
Fluid Collection ◽  
Bleeding Complications ◽  
Abdominal Abscess ◽  
Catheter Drainage ◽  
Safe Alternative ◽  
Lower Segment Cesarean Section ◽  
Fluid Collections

The mortality in abdominal abscess is high, however the outcome has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, and site.  The single abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters.  Percutaneous drainage provides an effective and safe alternative to more invasive surgical drainage but the success rate is lower for abscesses that have septa and are multilocular. Several clinical and in vitro studies suggest urokinase may be useful in such cases. To the knowledge, however, there has been no case of post LSCS intra-abdominal abscess in which intracavitary urokinase was administered. Therefore, we report a case of post LSCS multiseptated intra-abdominal abscess occurring in a 21-year-female. Conventional percutaneous tube drainage failed, but the use of transcatheter intracavitary urokinase was successful.  Our results showed no significant change in hematologic studies and no bleeding complications. Intracavitary urokinase can be given safely during percutaneous drainage of an abscess, with no associated bleeding complications or changes in coagulation parameters.

Lung Abscess

1993 ◽  
Vol 34 (4) ◽  
pp. 362-365 ◽  
Author(s):  
H. K. Ha ◽  
M. W. Kang ◽  
J. M. Park ◽  
W. J. Yang ◽  
K. S. Shinn ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Pleural Empyema ◽  
Lung Parenchyma ◽  
Lung Abscess ◽  
Percutaneous Catheter Drainage ◽  
Neurologically Impaired ◽  
Puncture Site ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Impaired Patient

Lung abscess was successfully treated with percutaneous drainage in 5 of 6 patients. Complete abscess resolution occurred in 4 patients, partial resolution in one, and no response in one. The duration of drainage ranged from 7 to 18 days (mean 15.5 days) in successful cases. The failure of drainage in one neurologically impaired patient was attributed to persistent aspiration. In 2 patients, concurrent pleural empyema was also cured. CT provided the anatomic details necessary for choosing the puncture site and avoiding puncture of the lung parenchyma. Percutaneous catheter drainage is a safe and effective method for treating lung abscess.

scholarly journals A clinical study on the presentation and management of liver abscess in eastern Uttar Pradesh and evaluation of a low cost technique of percutaneous catheter drainage

2019 ◽  
Vol 6 (4) ◽  
pp. 1238
Author(s):  
Amit Kumar Gupta ◽  
Yogesh Kumar ◽  
Annanya Soni
Keyword(s):  
Liver Abscess ◽  
Percutaneous Drainage ◽  
Low Cost ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Tube Drainage ◽  
Percutaneous Catheter ◽  
Eastern Uttar Pradesh

Background: The objective of the study was to assess the outcome of various modalities of treatment and evaluation of a low cost technique of percutaneous catheter drainage of liver abscess.Methods: A prospective study of patients with liver abscess was conducted in a tertiary care centre over a period of one year. Since the cost of commercially available catheter (pig tail type) for image guided percutaneous drainage of liver abscess is quite high (approx Rs 800) and considering the fact that a considerable population in eastern Uttar Pradesh is poverty stricken, this study includes an evaluation of low cost technique of percutaneous drainage of liver abscess as a pilot project. In the present study K-90 was used as “low cost drainage” and compared with pig tail catheter drainage.Results: Total 34 patients with liver abscess were enrolled in the study. 31 cases were male and 3 cases were female. 34 cases were subjected to catheter drainage (pig tail catheter, K-90) yielding varying quantities of pus from 300 ml to 2200 ml, depending on the size of the abscess. 15 out of 34 patients underwent tube drainage (K-90) by our innovative trochar cannula system using 5 mm laparoscopic metal trochar.Conclusions: Although, compared to pig tail drainage, K-90 tube drainage is associated with more number of minor complication and prolonged hospital stay, however looking to the advantages and greatly reduced cost its use is probably justified.

scholarly journals A COMPARATIVE STUDY OF PERCUTANEOUS NEEDLE ASPIRATION AND CATHETER DRAINAGE IN MANAGEMENT OF LIVER ABCESS

2021 ◽  
pp. 1-2
Author(s):  
Haresh G. Memariya ◽  
Rajnish R. Patel ◽  
Hitendra K. Desai ◽  
Rajesh K. Patel ◽  
Deep N. Patel ◽  
...  
Keyword(s):  
Comparative Study ◽  
Hospital Stay ◽  
Percutaneous Drainage ◽  
Treatment Effectiveness ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Common Disease ◽  
Catheter Drainage ◽  
Duration Of Hospital Stay ◽  
Percutaneous Catheter

Modern management of liver abcess include a combination of percutaneous Needle aspiration or percutaneous Catherter drainage along with intravenous antibiotic .Liver abcess is common disease in india, if not treated properly can lead to hazardous complication. MATERIAL AND METHOD; This was comparative study of 30 patient from august 2018 to August2020 in civil hospital ahmedabad. Randomization was done and dived into two groups of 25 each and assigned two group as percutaneous Catherter drainage and needle aspiration. Both groups were given intravenous antibiotics for 7 days .Both modalities were performed under guidance of ultrasound imaging. Needle aspiration was repeated for three times and if size of abcess cavity not reduced to half consider as failure of treatment. Effectiveness of treatment measured in term of days to achieve clinical improvement, total/near total resolution of abcess cavity and duration of hospital stay. RESULT; Needle aspiration was successful in 13 out of 15,whereas percutaneous drainage was successful in 14 out of 15.Duration of hospital stay were significantly lower in percutaneous drainage.one patient with needle aspiration developed subcapsular hematoma. CONCLUSION; We can conclude that percutaneous drainage is better modality is better modality as compared to needle aspiration in medium to large size liver abcess. The duration of hospital stay is comparatively lower in percutaneous drainage and days of clinical relief were earlier in percutaneous drainage. This study also verify that both were adequately effective in the treatment of liver abcess. *AIM OF THE STUDY To compare the effectiveness of percutaneous catheter drainage and percutaneous needle aspiration in management of liver abcess.

Percutaneous ultrasound-guided treatment of simple renal cysts: Our experience

1997 ◽  
Vol 64 (4) ◽  
pp. 388-390
Author(s):  
A. Raugei ◽  
I. Vici ◽  
S. Agostini ◽  
A. Delle Rose ◽  
A. Posti ◽  
...  
Keyword(s):  
Renal Function ◽  
Back Pain ◽  
Percutaneous Drainage ◽  
Open Surgery ◽  
Renal Cysts ◽  
Ultrasound Guided ◽  
Management Options ◽  
Catheter Drainage ◽  
Video Laparoscopy

– Simple renal cysts are often found casually during ultrasound. When they cause flank or back pain, hypertension, renal calyceal or pelvic obstruction or deterioration in renal function, an operation is necessary. Ultrasound-guided percutaneous drainage and sclerotisation are currently considered the least invasive and safest management options compared to open surgery or video laparoscopy. This method was used from January 1993 to February 1997 to treat 60 patients with a success rate of 78% and no significant complications, except for a case of suppuration which was promptly resolved. Our experience showed that best results were obtained when a second alcoholisation was carried out and the catheter-drainage left in situ for three days to help in the collapse of cyst walls.

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