Outcome Evaluation of Laparoscopic Drainage of Pelvi-Abdominal Abscess at Zagazig University Hospitals | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 118, Volume 87, Issue 1, April 2022, Page 1701-1703 PDF (564.01 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2022.229380 | ||||
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Authors | ||||
Ahmed Habib ; Emad Mohamed Salah; Gamal Mohamed Osman; Abd Elrahman Moustafa Metwally | ||||
General surgery Department, Al Ahrar Zagazig Teaching Hospital, Zagazig, Egypt. | ||||
Abstract | ||||
Background: Intra-abdominal abscesses remain a major cause of morbidity and mortality. Intra-abdominal abscesses that are localized usually arise in connection to the damaged viscus. For timely treatment, a correct diagnosis and abscess localization are required. Laparoscopic draining of a large intra-abdominal abscess is a minimally invasive procedure that allows exploration of the abdominal cavity without a large incision. Aim: This study aimed to to evaluate the outcome of laparoscopic management of abdominal abscesses not amenable to percutaneous or transrectal CT guided or ultrasound US-guided drainage. Patients and Methods: This prospective study included 24 patients presenting with clinical and radiological manifestations of lower abdominal intraperitoneal abscesses at General Surgery Department, Zagazig University, Egypt. This study was conducted through the period from Feb 2021 to Aug 2021. Results: Our analysis showed that mean operative time was 97.2 ± 12.3 min, mean intraoperative blood loss volume was 176.5 ± 62.7 ml and 19 cases needed blood transfusion. The VAS score of preoperative pain decreased from 6.9 pre-operative to 5 immediate post-operative and 0.3 at 24 hr post-operative. Conclusion: For pelvic-abdominal abscesses, laparoscopic drainage proved a realistic, safe, and effective treatment option. Laparoscopic drainage is a minimally invasive treatment with few postoperative complications. | ||||
Keywords | ||||
Laparoscopic; Intra-abdominal abscesses; Drainage; Pelvi-abdominal abscess | ||||
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