2. Effectiveness of Abdominal Abscesses Drainage by Percutaneous Guided Ultrasound
Fahad Mukhtar Hashmi1, Shahid Manzur1, Syed Hasnain Abbas3, Huma Jamil2 and Munazza Zafar4
ABSTRACT
Objectives: To assess the effectiveness of treatment of abdominal abscesses drainage by percutaneous guided ultrasound
Study Design: Randomized controlled trial.
Place and Duration of Study: This study was conducted at the Department of Diagnostic Radiology, Bahawal Victoria Hospital, Bahawalpur for 6 months from October 2015 to March, 2016.
Materials and Methods: In our study, 80 patients were included from the in-door General Surgery wards of Bahawal Victoria Hospital, Bahawalpur. Regardless of gender, age of the patients ranges between 20-45 years having localized abdominal abscess > 4 cm in size not responding to antimicrobial treatment. All patients with generalized collection, bleeding diathesis and with co-morbidities were excluded from the study. They were divided in two age groups from 20-30 ages and 31-45 age. In group-A, percutaneous drainage was done and in group-B surgical exploration was done. Procedures was done by consultant surgeon and Radiologist. After procedure patients were assessed for effectiveness according to operational definition. Results were analyzed by using SPSS
version 11.
Results: The study shows that in 20-30 ages, there were 18 patients in Group-A, 45% and 21 patients in Group-B 52.5%. In 31-45 years of age, there were 22 patients were in Group-A 55% and 19 patients in Group-B 47.5%, mean and SD was calculated as 32.54+2.63 and 29.24+2.34 years respectively, In group-A, 14 were male 35% and 23 females 65%. In group-B, there were 17 male 42.5% and 23 females 57.5%. Comparison of efficacy of ultrasound guided percutaneous drainage in treatment of abdominal abscesses shows 33 patients,82.5% in Group-A and 20 patients, 50% in Group-B were treated effectively, p value=0.002.
Conclusion: We concluded that Percutaneous ultrasound guided drainage of the abdominal abscesses is a better treatment strategy than surgery (exploratory laparotomy) and drainage of the pus. It is cost effective and reduce burden on hospital due to minimal stay in wards and expenditures.
Key Words: Abdominal Abscesses, ultrasound guided percutaneous drainage, exploratory laparotomy, effectiveness.
Citation of article: Hashmi FM, Manzur S, Abbas SH, Jamil H, Zafar M. Effectiveness of Abdominal Abscesses Drainage by Percutaneous Guided Ultrasound. Med Forum 2017;28(4):5-8.