Minimally invasive interventions in patients with postoperative abdominal abscesses

Authors

  • V. V. Boyko V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine
  • V. M. Lykhman V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine
  • A. O. Merkulov V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine
  • O. M. Shevchenko Kharkiv National Medical University
  • S. V. Tkach V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine
  • D. O. Myroshnychenko V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine
  • E. O. Bilodid V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine
  • N. V. Batsman V. Zaitsev Institute of General and Emergency Surgery of the National Academy of Medical Sciences of Ukraine

DOI:

https://doi.org/10.11603/2414-4533.2021.2.12300

Keywords:

abdominal abscess, puncture, drainage

Abstract

The aim of the work: to improve the results of treatment of patients with postoperative abscesses of the abdominal cavity using minimally invasive interventions.

Materials and Methods. The results of treatment of 52 patients with postoperative abscesses of the abdominal cavity were analyzed. The average age of the patients was (58±8.4) years, 41 (78.8 %) patients were under the age of 60 years.

Results and Discussion. Percutaneous punctures under ultrasound or combined control were used in 20 (38.5 %) patients with solitary postoperative abscesses. In total, 34 percutaneous punctures were performed in these patients. Accesses in 17 (85 %) patients were under ultrasound navigation, without injury to internal organs, in one (5 %) patient, puncture was performed through the liver tissue, in two (10 %) – through the pleural sinus. All patients, regardless of the size of the abscess, its localization and the duration of the process, the puncture was performed on the first attempt. In 3 (15 %) patients, percutaneous puncture was ineffective, and therefore 2 (10 %) patients underwent percutaneous drainage, and one (5 %) – laparotomy. There were no complications after percutaneous puncture. 1 (5 %) patient died. The cause of death is not related to the complication of percutaneous intervention. Death occurred as a result of multiple organ failure against the background of diffuse peritonitis and sepsis. The duration of treatment of patients from the moment of the first puncture of the abscess to discharge from the hospital was (11.2±1.9) days. Percutaneous interventions in patients with postoperative abdominal abscesses are characterized by high clinical efficacy – 89.8 % for drainage and 82.4 % for puncture techniques.

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Published

2021-08-27

How to Cite

Boyko, V. V., Lykhman, V. M., Merkulov, A. O., Shevchenko, O. M., Tkach, S. V., Myroshnychenko, D. O., … Batsman, N. V. (2021). Minimally invasive interventions in patients with postoperative abdominal abscesses. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 59–64. https://doi.org/10.11603/2414-4533.2021.2.12300

Issue

No. 2 (2021)

Section

EXPERIENCE OF WORK

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