Minimally invasive interventions in patients with postoperative abdominal abscesses
DOI:
https://doi.org/10.11603/2414-4533.2021.2.12300Keywords:
abdominal abscess, puncture, drainageAbstract
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.
References
Vayner, Yu.S. (2018). Tonkokishechnyy anastomoz v usloviyakh peritonita [Small bowel anastomosis in conditions of peritonitis]. Thesis. Novosibirsk [in Russian].
Abdel-Kader, S., Sartelli, M., & Abu-Zidan, F.M. (2019). Complicated intra-abdominal infections: a prospective validation study of the WSES Sepsis Severity Score. Singapore Med. J., 60 (6), 317-321.
Azarenok, A.S., & Mihaylova, E.I. (2019). Nekotorye aspekty ratsionalnoy perioperatsionnoy antibiotikoprofilaktiki v otdeleniyah hirurgicheskogo profilya (obzor) [Some aspects of rational perioperative antibiotic prophylaxis in surgical departments (review)]. Voprosy organizatsii i informatizatsii zdravoohraneniya – Issues of Organization and Informatization of Health Care, 1 (98), 64-68 [in Russian].
González-Pérez, L.G., Sánchez-Delgado, Y., Godínez-Vidal, A.R., Cruz-Manzano, J.F., Gutiérrez-Uvalle, G.E., & Gracida-Mancilla, N.I. (2018). Index of Mannheim and mortality in sepsis abdominal. Cirugia y Ciruganos, 86 (5), 423-427.
Gelfand, B.R., Kirienko, A.I., & Dibirov, M.D. (2017). Abdominalnaya infektsiya i sepsis: natsionalnye klinicheskie rekomendatsii [Abdominal infection and sepsis: national clinical guidelines]. Infektsii v hirurgii – Infections in Surgery, 15 (3-4), 2-27 [in Russian].
Cho, J., Park, I., Lee, D., Sung, K., Baek, J., & Lee, J. (2015). Risk factors for postoperative intra-abdominal abscess after laparoscopic appendectomy: Analysis for consecutive 1,817 experiences. Digestive Surgery, 32 (5), 375-381.
Brusina, E.B., Kovalisheva, O.V., & Tsigelnik, A.M. (2017). Infektsii, svyazannye s okazaniem meditsinskoy pomoshchi v hirurgii: tendentsii i perspektivy profilaktiki [Infections associated with the provision of medical care in surgery: trends and prospects for prevention]. Epidemiologiya i vaktsinoprofilaktika – Epidemiology and Vaccine Prevention, 4 (95), 73-80 [in Russian].
Zatevahin, I.I., Kirienko, A.I., & Sazhina, A.V. (2018). Neotlozhnaya abdominalnaya hirurgiya (prakticheskoe rukovodstvo dlya praktikuyushchego vracha) [Emergency abdominal surgery (A practical guide for the practitioner)]. Moscow: MIA [in Rusian].
Gostishchev, V.K. (2016). Klinicheskaya operativnaya gnoynaya hirurgiya [Clinical operative purulent surgery]. Moscow: GEOTAR-Media [in Russian].
Boyko, V.V., Lihman, V.M., Shevchenko, O.M., Merkulov, A.O., & Polіkov, G.O. (2019). Lіkuvalno-dіahnostychna taktyka pry rіdynno-kіstoznykh utvorenniakh pіdshlunkovoi zalozy [Therapeutic and diagnostic tactics for fluid-cystic formations of the pancreas]. Klіnіchna khіrurhіia – Clinical Surgery, 3, 3-6 [in Ukrainian].
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