Title: Study of Liver Abscess Drainage by Needle Aspiration v/s Pigtail Catheter Drainage in a Tertiary Care Hospital
Authors: Dr Raj Depani, Dr Tirth Bharat Shah, Dr Shubham Patel, Dr Sharad M Patel
DOI: https://dx.doi.org/10.18535/jmscr/v10i1.02
Abstract
Aim: To compare effectiveness and outcome of USG guided needle aspiration and percutaneous catheter drainage in patients diagnosed with liver abscess.
Methods: This is a prospective observational study of liver abscess drainage over the period of 28 months from 1st June 2019 to 31st Oct 2021 at the department of General Surgery, Smt. SCL General Hospital, Ahmedabad.
Study consists of 130 patients, presented in the outpatient and emergency department at the hospital, selected by random sampling method and diagnosed by ultrasonography.
Results: Majority (63.8%) patients treated by percutaneous aspiration had a mean liver abscess cavity of 6cm size 158cc. Pigtail catheter drain was placed in 25.38% patients having large abscess with average size 7.5cm and 565cc volume. Recurrence was seen in 24% patients who were percutaneously aspirated whereas in catheter drainage, recurrence rate was 9%. Average duration of hospital stay was 7.83 days & 9.71 days in patients treated by percutaneous aspiration and pigtail catheterisation respectively.
Conclusions: Percutaneous needle aspiration is preferred in patients with single or multiple liver abscess with cavity size of >5cm and >50cc volume. In abscess with cavity size >10 cm and single cavity in adults can be treated with Percutaneous catheter drainage.
Keywords: Liver abscess, Pigtail Catheter drainage, Needle aspiration.
