Prospective randomized comparative study of percutaneous catheter drainage and percutaneous needle aspiration in the treatment of liver abscess

2020 ◽  
Author(s):  
Meraj Ahmed ◽  
Junaid Alam ◽  
Sadiq Hussain ◽  
Mohammad Aslam
Keyword(s):  
Comparative Study ◽  
Liver Abscess ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Catheter Drainage ◽  
Percutaneous Catheter

scholarly journals Management of Liver Abscess in Children: Our Experience

2017 ◽  
Vol 7 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Mukta Waghmare ◽  
Hemanshi Shah ◽  
Charu Tiwari ◽  
Kiran Khedkar ◽  
Suraj Gandhi
Keyword(s):  
Liver Abscess ◽  
Ultrasound Guidance ◽  
Pediatric Population ◽  
Needle Aspiration ◽  
Percutaneous Catheter Drainage ◽  
Average Volume ◽  
Catheter Drainage ◽  
Percutaneous Catheter ◽  
Disposable Needle ◽  
The Mean

ABSTRACT Introduction Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient. Materials and methods A total of 34 patients less than 12 years were assessed in a retrospective study from January 2012 to 2016. Patients were assessed in terms of age of presentation, etiology, bacteriology, diagnosis, and modality of treatment. Results The mean age of presentation was 6.3 years. Average volume of abscess was 164 cc. Nine patients (26.4%) underwent percutaneous needle aspiration under ultrasound guidance with wide bore needle (18 G disposable needle). Three patients required more than two sittings of aspiration. Patients with volume more than 80 cc were treated with catheter drainage. Twenty patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess. Conclusion Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases. How to cite this article Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato-Gastroenterol 2017;7(1):23-26.

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.

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