ECHOGUIDED PERCUTANEOUS DRAINAGE IN ABSCESSES AND ABDOMINAL FLUID COLLECTIONS

Abstract

Abdominal abscesses are patologies characterized by an high decree of mortatlity and mobility.

The pathology was once dealt with surgery evacuation the percentage of success reaches 60% while mortality runned around 24%.

Today this technic has been substitued by the echoguided treatment.

The minimal invasive approach reduced drammatically the cases of complications (4-6%) and mortality (4%); it is highly suggested in the majority of the cases of visceral or endoperitoneal abscesses.

Our study case counts 57 echoguided drainages due to multiply surgery pathologies. The number of succesfull ends runs on 93%, this perfect agrees with the datas given by litterature that states a decree of succes around 90%.

We did no test an higher or lower decree of complications nor mortality.

According to our opinion the echoguided drainage is a primary technic in abdominal septic collections.

Surgery drainage has to be aside for patients with general good healt or for collections accompained with divertcular disease of the large intestine, crohn disease, rectocolitis ulcerosis and periappendix abscess.