A Cross Sectional study of Image Guided Percutaneous Drainage of Intra - Abdominal abscesses, of patient Admitted to Dr. Prabhakar Kore Hospitals and MRC Belgaum

Abstract

Background and objectives ABSTRACT Intra-abdominal abscess continues to be an important and serious problem in surgical practice. Management of intra-abdominal abscess consists of drainage of abscesses which can be percutaneous drainage or surgical drainage. The present study was aimed to assess the feasibility of percutaneous drainage as the primary method to treat intra abdominal abscess through image guided diagnosis. Methodology This one year cross sectional study was conducted on a total of 40 patients admitted with intra abdominal abscesses in the wards of Department of Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum during the period of January 2010 to December 2010. Data obtained was tabulated on a excel spread sheet analysed. Results In the present study the commonest ( 30% ) age group was 36 to 50 years ( 30% ) study. Single abscess was seen in 82.5% of patients whereas 17.5% had multiple abscesses. In the present study 77.5% cases underwent computed tomography and 22.5% underwent ultrasonography. 22.5% cases underwent bedside procedure whereas 77.5% in procedure room. The mean drainage was recorded as 31.15 ± 16.35 mL. On day one was 34.18 ± 32.49 mL, on day two it was 15.68 ± 9.24 mL and on day three 11.68 ± 8.22 mL. The commonest organisms were staph aureus 45.16%, E. coli 38.70%, streptococcus pyogenes 9.67% and klebesialla pneumoniae 6.45%. Overall the mean duration of hospital III stay was 11.08 ± 6.32 days. Of the 40 patients with abscess 39 ( 97.5% ) improved and one patient ( 2.5% ) expired. Conclusion and interpretation Percutaneous drainage is safe, effective and feasible treatment option for the management of intra abdominal abscesses. CT being the most sensitive imaging modality for visualizing intra abdominal abscesses should be used to guide percutaneous drainage.