Predictors of Outcome for Non-Operative Management of Localized Intra-Abdominal Infection ''Abscess'': A Prospective Study | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 63, Volume 84, Issue 1, July 2021, Page 2033-2039 PDF (419.39 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2021.180347 | ||||
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| Authors | ||||
| Sherif Galal Abdel-Aal Kopesy; Ahmed Gaber Mahmoud; Alaa El-Din Hassan Mohamed; Wael Barakat Ahmed | ||||
| Department of General Surgery, Faculty of Medicine, Sohag University, Egypt | ||||
| Abstract | ||||
| Background: Interventional (percutaneous) drainage of abdominal abscesses is a safe and successful method of treatment that avoids many of the disadvantages of traditional surgical drainage. Objective: This study aimed to evaluate factors associated with success or failure for non-operative management of localized intra-abdominal infection ''abscess''. Patients and Methods: This is a prospective single arm descriptive study that has been conducted at Sohag University Hospital from June 2017 to August 2018. This study included 100 patients presented with intra-abdominal localized collection during the period of the study, from June 2017 to August 2018, and presented to Sohag University Hospital, with any sex, age, previous abdominal surgery or clinical presentation. Results: In our studied population, 85 cases of total 100 cases had spontaneous abscesses without any previous abdominal surgeries. 52 cases of them responded successfully to non-operative management while 33 failed. 64 cases of total 100 cases responded successfully to non-operative management, 25 % of them were appendicular/post appendectomy abscesses, 21.88% were liver abscesses, 21.88% were iliopsoas/ iliopsoas and perinephric abscesses. To be noticed that all 14 cases (11 iliopsoas and 3 iliopsoas and perinephric abscesses) responded successfully to non-operative management by 100%. Out of 29 diabetic patients with intra-abdominal abscess, 26 cases of them responded to non-operative management while only 3 cases of them needed surgical intervention. Conclusion: Diabetes mellitus and positive culture of aspirate are predictors for success of non-operative management while high grade fever is predictor for failure. | ||||
| Keywords | ||||
| Intra-abdominal abscess; Localized intra-abdominal collection; Percutaneous drainage; Pig tail | ||||
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