A COMPARISON OF PERCUTANEOUS CATHETER VERSUS SURGICAL DRAINAGE IN THE TREATMENT OF INTRAABDOMINAL ABSCESSES
GÜLÜM ALTACA1, OKAN AKHAN2, DEMİRALİ ONAT1, SARUHAN ÇEKİRGE2, İSKENDER SAYEK1
1Hacettepe Üniversitesi Tıp Fakültesi Genel Cerrahi A.B.D., ANKARA
2Hacettepe Üniversitesi Tıp Fakültesi Radyoloji A.B.D., ANKARA
Abstract
42 patients with intraabdominal (IA) abscesses, 22 of them treated by percutaneous drainage (PCD) and 20 of them by surgical drainage (SD) at Hacettepe University, School of Medicine were retrospectively reviewed. Average ages, sex ratios, and Mannheim Peritonitis Indexes were used to determine the comparability of the groups. Mean catheter drainage was 12.8 days in the PCD group and mean hospital stay was 20,77 days in the SD group. With SD, complete cure was achieved in 90 % of the abscesses. With PCD, cure was achieved in 50% of the complex, and 75% of the simple abscesses, while palliation was achieved in 33 % of the complex abscesses. Although success rate is higher with SD, by permitting noninvasive localization and appropriate selection of antimicrobial therapy; decreasing post-drainage hospital stay and need for general anesthesia, PKD is also a useful method in the treatment of IA abscesses.