A Study Between Percutaneous Aspiration and Pigtail Drainage in 70 Cases of Liver Abscess

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (15) Last page: (41)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

A Study Between Percutaneous Aspiration and Pigtail Drainage in 70 Cases of Liver Abscess
Kaushal Sutha1,Nikunj Kumar Patel2, Veer Shah3*
1Associate Professor, 2Assistant professor, 2,3Department of General Surgery, smt NHL medical college and SVP Hospital, Ahmedabad Pin 380006
Corresponding author email id: shahzadanwar@rediffmail.com

Online Published on 02-Jan-2020

ABSTRACT

INTRODUCTION:Liver abscesses, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. India has the 2nd most burden of liver abscess amongst all other countries. The advances in radiology like ultrasonography (USG) and CT-scan resulted in introduction of radiological guided aspiration and drainage of intra-abdominal abscesses as many cases are refractory to medical therapy.AIMS AND OBJECTIVES:To evaluate: demographic profle, etiology, clinical presentation and its management.MATERIALS AND METHODS:Study size and period: 70 cases, May 2017-18Study conducted at: V.S.G.H, AhmedabadNeedle aspiration Guidelines: abscess size >5 cm or>65ccvolume.Pig Tail Catheter drainage Guidelines: abscess size >8 cm or >120 cc volume.USG done: on Day 1, 3, 7, 30.Patients above 18yearsand willing for long follow-up were included in study.Regular follow up with USG on every visit of patient was done.RESULTS:The mean hospital stay of Percutaneous aspiration (2.8 days) was less as compared to pigtail drainage (4.6 days) and hence the patient compliance is more in aspiration. But for the complete resolution of abscess cavity especially for large abscesses pigtail drainage ofers better advantage than percutaneous needle aspirations provided the cavity is adequately liquefed.CONCLUSION:Percutaneous needle aspiration is minimally invasive and readily acceptable but not useful in large abscess. And Pigtail catheter drainage of abscess under USG guidance is better, safe and efective in larger abscesses but required longer hospital stay. As there is no signifcant diference in cavity resolution rate, Both Procedures could be used with equal efcacy in properly selected cases.

Keywords

Liver, Abscess,percutaneous Aspiration ,pigtail Drainage