Ultrasound guided percutaneous drainage of abdominal abscesses in the hands of the clinician: A multicenter Italian study

Giuseppe Civardi, Giulio Di Candio, Antonio Giorgio, Orlando Goletti, Tiziano Ceragioli, Carlo Filice, Marcello Caremani, Luigi Buscarini

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Image guided percutaneous drainage is a well established therapeutic technique. The results of these procedures, when performed directly by the clinician and under sonographic guidance, in respect to other imaging techniques are not yet clarified. Methods: The 886 cases of ultrasound guided drainage were collected from eight italian clinical institutions and the results were analyzed according to location of the abscess, drainage technique, underlying diseases, microbiological findings, immunological patient status and previous surgical intervention. Results: We observed an overall cure rate of 90.4%. The best results were obtained in hepatic abscesses, both amoebic and pyogenic (cure rate 98.7 and 94.3%). Slightly lower cure rates were obtained in abdominal and splenic abscesses, postoperative collections and severely immunocompromised patients. The frequency of complications was low (6.6%) and mostly related to catheter drainage. No drainage-related deaths occurred. Conclusions: The study confirms the high clinical efficiency and safety of ultrasound guided percutaneous drainage, even when performed directly by the clinician. The sonographic guidance showed similar efficacy, more manageability and lower costs than other imaging techniques and it should be preferred whenever possible. For hepatic abscesses, ultrasound guided needle aspiration showed good results and less complications than catheter drainage.

Original languageEnglish
Pages (from-to)91-99
Number of pages9
JournalEuropean Journal of Ultrasound
Volume8
Issue number2
DOIs
Publication statusPublished - Nov 16 1998

Keywords

  • Abdominal abscesses
  • Percutaneous drainage
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Bioengineering
  • Acoustics and Ultrasonics
  • Chemical Engineering(all)

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