Volume : 7, Issue : 2, February - 2018

Comparative study of needle aspiration verses pigtail catheter insertion in 50 cases liver abscess.

Dr. Ajay R Upadhyay, Dr. Nikunj C Desai

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN">Background: </span></b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:EN-IN;mso-fareast-language:EN-IN">Liver abscesses are a common cause of morbidity and mortality in tropical countries due to poor socio economic living conditions. <span style="mso-spacerun:yes">&nbsp;</span>They are mainly divided into pyogenic and amoebic types based on causative organism. Treatment for liver abscesses has conventionally been use of oral and IV antibiotics, followed by surgical drainage in refractory cases. In last decade the use of percutaneous USG guided needle aspiration and pigtail catheter drainage has come forward as a viable alternative for drainage of abscesses rather than surgical approach.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN">Aim: </span></b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:EN-IN;mso-fareast-language:EN-IN">To compare the effect and usefulness of needle aspiration Vs.Pigtail catheter drainage in treatment of liver abscesses.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN">Materials and Methods: </span></b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:EN-IN;mso-fareast-language:&#10;EN-IN">Fifty patients with liver abscess were treated using either needle aspiration or pigtail catheter drainage and results compared and analyzed. All patients received same group of antibiotics.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN">Results:</span></b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:EN-IN;mso-fareast-language:EN-IN">Forty patients were treated using needle aspiration and 10 using pigtail catheter drainage. <span style="mso-spacerun:yes">&nbsp;</span>Out of forty10 patients required repeat needle aspiration after one or two weeks because of residual pus. Out of 10 patients treated with <span style="mso-spacerun:yes">&nbsp;</span>pigtail catheter aspiration 3 patient develop catheter related problems like blockage, shivering, and leak surrounding catheter.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN">Conclusion: </span></b><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:EN-IN;mso-fareast-language:EN-IN">USG guided needle aspiration<span style="mso-spacerun:yes">&nbsp; </span>has 100 % success rate as compared to catheter <span style="mso-spacerun:yes">&nbsp;</span>aspiration with no procedural or post procedural <span style="mso-spacerun:yes">&nbsp;</span>complication and<span style="mso-spacerun:yes">&nbsp; </span>well accepted by patients and treating doctors as a short therapeutic OPD procedure.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;mso-layout-grid-align:none;&#10;text-autospace:none"><span lang="EN-IN" style="font-size:14.0pt;mso-ansi-language:&#10;EN-IN;mso-fareast-language:EN-IN"><o:p>&nbsp;</o:p></span></p>