Percutaneous abdominal abscess drainage. Portland area experience

Jeffrey Sunshine, Donald McConnell, Carol J. Weinstein, Truman M. Sasaki, R. Mark Vetto

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

After reviewing 21 patients who have had percutaneous abdominal abscess drainage, we believe that the procedure should be considered for those abscesses that are unilocular without septations, with safe access being a key variable dictating the use of percutaneous abdominal abscess drainage rather than surgery. A computerized tomographic scan of the abdomen should be employed at some stage of the percutaneous abdominal abscess drainage procedure to facilitate safe access to the abscess and to distinguish a synchronous abscess where present. In addition, we believe that percutaneous abdominal abscess drainage should be considered for postsurgical abscesses only and not those that are spontaneous in nature or where the original abnormality cannot be accurately surmised. With regard to catheter management, frequent irrigation of the catheter must be carried out at least every 4 to 6 hours, with high levels of antibiotics present in the blood before irrigation. This must be done to obviate the most frequent and potentially lethal complication of the procedure, namely sepsis. Percutaneous abdominal abscess drainage, although safe for the most part, is capable of inducing considerable morbidity. Our data suggest that percutaneous abdominal abscess drainage is not as efficacious as previous reports have suggested. Traditional surgical drainage techniques are best utilized for those abscesses that are multiple, highly viscous, inaccessible, spontaneous, or unresponsive to percutaneous abdominal abscess drainage.

Original languageEnglish (US)
Pages (from-to)615-618
Number of pages4
JournalThe American Journal of Surgery
Volume145
Issue number5
DOIs
StatePublished - 1983
Externally publishedYes

Fingerprint

Abdominal Abscess
Drainage
Abscess
Catheters
Abdomen
Sepsis
Anti-Bacterial Agents
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

Sunshine, J., McConnell, D., Weinstein, C. J., Sasaki, T. M., & Vetto, R. M. (1983). Percutaneous abdominal abscess drainage. Portland area experience. The American Journal of Surgery, 145(5), 615-618. https://doi.org/10.1016/0002-9610(83)90105-8

Percutaneous abdominal abscess drainage. Portland area experience. / Sunshine, Jeffrey; McConnell, Donald; Weinstein, Carol J.; Sasaki, Truman M.; Vetto, R. Mark.

In: The American Journal of Surgery, Vol. 145, No. 5, 1983, p. 615-618.

Research output: Contribution to journalArticle

Sunshine, J, McConnell, D, Weinstein, CJ, Sasaki, TM & Vetto, RM 1983, 'Percutaneous abdominal abscess drainage. Portland area experience', The American Journal of Surgery, vol. 145, no. 5, pp. 615-618. https://doi.org/10.1016/0002-9610(83)90105-8
Sunshine, Jeffrey ; McConnell, Donald ; Weinstein, Carol J. ; Sasaki, Truman M. ; Vetto, R. Mark. / Percutaneous abdominal abscess drainage. Portland area experience. In: The American Journal of Surgery. 1983 ; Vol. 145, No. 5. pp. 615-618.
@article{9de6deb1de1e4e41add1d5665d170c95,
title = "Percutaneous abdominal abscess drainage. Portland area experience",
abstract = "After reviewing 21 patients who have had percutaneous abdominal abscess drainage, we believe that the procedure should be considered for those abscesses that are unilocular without septations, with safe access being a key variable dictating the use of percutaneous abdominal abscess drainage rather than surgery. A computerized tomographic scan of the abdomen should be employed at some stage of the percutaneous abdominal abscess drainage procedure to facilitate safe access to the abscess and to distinguish a synchronous abscess where present. In addition, we believe that percutaneous abdominal abscess drainage should be considered for postsurgical abscesses only and not those that are spontaneous in nature or where the original abnormality cannot be accurately surmised. With regard to catheter management, frequent irrigation of the catheter must be carried out at least every 4 to 6 hours, with high levels of antibiotics present in the blood before irrigation. This must be done to obviate the most frequent and potentially lethal complication of the procedure, namely sepsis. Percutaneous abdominal abscess drainage, although safe for the most part, is capable of inducing considerable morbidity. Our data suggest that percutaneous abdominal abscess drainage is not as efficacious as previous reports have suggested. Traditional surgical drainage techniques are best utilized for those abscesses that are multiple, highly viscous, inaccessible, spontaneous, or unresponsive to percutaneous abdominal abscess drainage.",
author = "Jeffrey Sunshine and Donald McConnell and Weinstein, {Carol J.} and Sasaki, {Truman M.} and Vetto, {R. Mark}",
year = "1983",
doi = "10.1016/0002-9610(83)90105-8",
language = "English (US)",
volume = "145",
pages = "615--618",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Percutaneous abdominal abscess drainage. Portland area experience

AU - Sunshine, Jeffrey

AU - McConnell, Donald

AU - Weinstein, Carol J.

AU - Sasaki, Truman M.

AU - Vetto, R. Mark

PY - 1983

Y1 - 1983

N2 - After reviewing 21 patients who have had percutaneous abdominal abscess drainage, we believe that the procedure should be considered for those abscesses that are unilocular without septations, with safe access being a key variable dictating the use of percutaneous abdominal abscess drainage rather than surgery. A computerized tomographic scan of the abdomen should be employed at some stage of the percutaneous abdominal abscess drainage procedure to facilitate safe access to the abscess and to distinguish a synchronous abscess where present. In addition, we believe that percutaneous abdominal abscess drainage should be considered for postsurgical abscesses only and not those that are spontaneous in nature or where the original abnormality cannot be accurately surmised. With regard to catheter management, frequent irrigation of the catheter must be carried out at least every 4 to 6 hours, with high levels of antibiotics present in the blood before irrigation. This must be done to obviate the most frequent and potentially lethal complication of the procedure, namely sepsis. Percutaneous abdominal abscess drainage, although safe for the most part, is capable of inducing considerable morbidity. Our data suggest that percutaneous abdominal abscess drainage is not as efficacious as previous reports have suggested. Traditional surgical drainage techniques are best utilized for those abscesses that are multiple, highly viscous, inaccessible, spontaneous, or unresponsive to percutaneous abdominal abscess drainage.

AB - After reviewing 21 patients who have had percutaneous abdominal abscess drainage, we believe that the procedure should be considered for those abscesses that are unilocular without septations, with safe access being a key variable dictating the use of percutaneous abdominal abscess drainage rather than surgery. A computerized tomographic scan of the abdomen should be employed at some stage of the percutaneous abdominal abscess drainage procedure to facilitate safe access to the abscess and to distinguish a synchronous abscess where present. In addition, we believe that percutaneous abdominal abscess drainage should be considered for postsurgical abscesses only and not those that are spontaneous in nature or where the original abnormality cannot be accurately surmised. With regard to catheter management, frequent irrigation of the catheter must be carried out at least every 4 to 6 hours, with high levels of antibiotics present in the blood before irrigation. This must be done to obviate the most frequent and potentially lethal complication of the procedure, namely sepsis. Percutaneous abdominal abscess drainage, although safe for the most part, is capable of inducing considerable morbidity. Our data suggest that percutaneous abdominal abscess drainage is not as efficacious as previous reports have suggested. Traditional surgical drainage techniques are best utilized for those abscesses that are multiple, highly viscous, inaccessible, spontaneous, or unresponsive to percutaneous abdominal abscess drainage.

UR - http://www.scopus.com/inward/record.url?scp=0020639385&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020639385&partnerID=8YFLogxK

U2 - 10.1016/0002-9610(83)90105-8

DO - 10.1016/0002-9610(83)90105-8

M3 - Article

C2 - 6846699

AN - SCOPUS:0020639385

VL - 145

SP - 615

EP - 618

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 5

ER -