Prospective randomized comparative study of pigtail catheter drainage versus percutaneous needle aspiration in treatment of liver abscess

2018 ◽  
Vol 89 (3) ◽  
pp. E81-E86 ◽  
Author(s):  
Mukesh Kulhari ◽  
Rajendra Mandia
Keyword(s):  
Comparative Study ◽  
Liver Abscess ◽  
Needle Aspiration ◽  
Pigtail Catheter ◽  
Catheter Drainage

A Comparitive Study of Needle Aspiration and Pigtail Catheter Drainage in Management of Liver Abscess

2017 ◽  
Vol 8 (4) ◽  
pp. 506-509
Author(s):  
Mallesh Pawar ◽  
◽  
Vinay G ◽  
Sunil Kumar A.P.V ◽  
◽  
...  
Keyword(s):  
Liver Abscess ◽  
Needle Aspiration ◽  
Pigtail Catheter ◽  
Catheter Drainage

scholarly journals Comparative Study of Catheter Drainage versus Needle Aspiration in Management of Liver Abscess

2019 ◽  
Vol 24 (2) ◽  
pp. 109
Author(s):  
Mahim Koshariya ◽  
Puspendra Singh Gehlot ◽  
Kunal Vinayak ◽  
Sharon Alex ◽  
Mayank Soni ◽  
...  
Keyword(s):  
Comparative Study ◽  
Liver Abscess ◽  
Needle Aspiration ◽  
Catheter Drainage

scholarly journals Image Guided percutaneous pigtail catheter drainage of Liver Abscess technique and its outcome

2021 ◽  
Vol 12 (7) ◽  
pp. 82-87
Author(s):  
Bhavika Jain ◽  
Nikita Mantri ◽  
Rishika Saraf ◽  
Shivaji Pole ◽  
Devidas Baburao Dahiphale ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Treatment Option ◽  
Antimicrobial Agents ◽  
Tertiary Care ◽  
Hepatic Abscess ◽  
Needle Aspiration ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Individual Organism ◽  
Image Guided

Background: Liver abscesses are localized collections of necrotic inflammatory tissue caused by bacterial, parasitic or fungal agents. These abscesses are usually suspected clinically in cases having fever and tender hepatomegaly. The diagnosis is usually confirmed on the basis of imaging such as ultrasound and computerised tomography. Management includes antimicrobial agents and drainage of abscess. Percutaneous drainage of abscess is done using needle aspiration or catheter drainage. Aims and Objective: The main aim of the study was to evaluate the role of pigtail catheterization drainage procedure as a treatment option in cases of liver abscess. Materials and Methods: It was a prospective study conducted ata tertiary care medical college. Fifty patients having hepatic abscess were included in this study over a period of one year from August 2018 to September 2019 on the basis of a predefined inclusion and exclusion criteria. These patients underwent pigtail catheterization of liver abscess as a treatment. The demographic characteristics, hepatic lobe involvement, offending organisms and complications were studies in these patients. Results: Out of 50 patients 35 were male and 15 were femalewith a M: F ratio of 1:0.42. The age ranged from 4 years to 92 years. The mean age of the studied cases was found to be 38.64 +/- 18.17 years. Right lobe was involved in predominant cases. most common individual organism involved in hepatic abscess formation was klebsiella (30%) followed by streptococcus (20%) and E-coli (8%) organisms. Seven patients developed procedure related complications out of which 5 patients had catheter dislodgment requiring repositioning of catheter 1 patient developed pus discharge from catheter site and remaining 1 patient developed subcapsular hematoma. Conclusion: Percutaneous image guided pigtail catheter of liver abscess is an effective minimal procedure as a treatment option for liver abscess with high success rate with no mortality related to procedure.

scholarly journals A profile study of 50 cases of liver abcess treated by percutaneous catheter drainage

2017 ◽  
Vol 4 (8) ◽  
pp. 2490 ◽  
Author(s):  
Prakash Babubhai Patel ◽  
Jignesh Shah ◽  
Suyadeep Baria
Keyword(s):  
Liver Abscess ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Complication Rates ◽  
Age Group ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Female Ratio ◽  
Economic Class ◽  
Group Sex

Background: Liver abscess is a life-threatening disease. Continuous catheter drainage is widely accepted and in combination with antibiotics is considered a safe and effective method of management of liver abscess. The objective of this study was to evaluate predisposing factors and incidence of liver abscess in various age group, sex, social economic study and its comparison with various studies and to evaluate morbidity, mortality and complication rates in patients of liver abscess treated either by percutaneous USG guided catheter drainage.Methods: This is an observational study of 50 patients with pigtail catheter drainage and needle aspiration in liver abscess treated during the period of May 2011 to December 2013 at New Civil Hospital, Surat.Results: In the present study majority of case [11 cases (22.5%)] were observed in the age group of 31-40 years. Male female ratio in our study was 8.2:1. Majority of Liver abscess cases [34 cases (68 %)] belongs to low socio-economic class. The commonest symptoms are pain and fever seen in 64% each. In the present study 100% success rate with no recurrence. None of the patients expired in the present study. Median hospital stay is 5 days with range from 2-25 days.Conclusions: Percutaneous pigtail catheter drainage is more effective in large liver abscess. 

COMPARATIVE STUDY OF OUTCOMES OF PERCUTANEOUS NEEDLE ASPIRATION VERSUS PIGTAIL CATHETER DRAINAGE FOR SOLITARY LIVER ABSCESS.

2021 ◽  
pp. 76-77
Author(s):  
Samir Kumar ◽  
Manish Manish
Keyword(s):  
Hospital Stay ◽  
Clinical Improvement ◽  
Liver Abscess ◽  
Needle Aspiration ◽  
Abscess Cavity ◽  
Pigtail Catheter ◽  
Catheter Drainage ◽  
Group A ◽  
Solitary Liver ◽  
Group B

Objective: The aim of this study was to compare the outcomes of ultrasound guided percutaneous needle aspiration and percutaneous pigtail catheter drainage in the treatment of solitary liver abscess with respect to successful drainage, clinical improvement, reduction in size of abscess cavity, duration of hospital stay and procedure related complications. Methods: Prospective randomized study on 108 patients treated over a period of 30 months. Using standard randomization they were divided equally into two groups A and B. Group A patients underwent usg guided percutaneous needle aspiration for a maximum of three attempts, and Group B patients were treated by pigtail catheter drainage. All the patients received a uniform protocol based supportive care and antimicrobial treatment. Outcomes were compared with respect to successful drainage, resolution of symptom, fty percent reduction in size of abscess cavity, hospital stay duration and procedure related complications. Results: A successful drainage was noted in 52(96%) patients in group B treated with PCD and 46 (84%) patients in group A treated with PNA. 8(11%) patients in group A did not respond to three attempts due to very thick pus and they were offered pigtail catheter drainage. The duration required for initial clinical improvement and fty percent reduction of size of abscess cavity was signicantly lesser in group B. Though the duration of hospital stay was lesser in group B the difference was not statistically signicant. Complication was noted only in group B where one patient developed perihepatic and subdiaphragmatic collection and the other had peritonitis. Both were cured after surgical intervention. Conclusion: Both percutaneous needle aspiration and pigtail catheter drainage are almost equally effective in the treatment of solitary liver abscess. Though pigtail catheter drainage helped in earlier clinical improvement and reduction in cavity size but the difference in duration required for full recovery and complete resolution of abscess cavity was not statistically signicant. Hence the selection of the procedure needs to be individualized and should take into account various factors like patient's general condition, laboratory parameters, and nature of abscess cavity.

scholarly journals Role of Pigtail Catheter Drainage Versus Percutaneous Needle Aspiration in the Management of Liver Abscess: A Retrospective Analysis

Cureus ◽  
2021 ◽  
Author(s):  
Saurabh Kumar ◽  
Naresh K Midha ◽  
Kamlesh Ahari ◽  
Deepak Kumar ◽  
Maya Gopalakrishnan ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Liver Abscess ◽  
Needle Aspiration ◽  
Pigtail Catheter ◽  
Catheter Drainage
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