Percutaneous drainage of abdominal abscesses Drenaje percutaneo de abscesos abdominales.
Author
dc.contributor.author
Fernández Fernández, Tamara
Author
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Ortega,
Author
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Darrás,
Author
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Gallardo Gallardo, Paulo
Author
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Yarmuch,
Admission date
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2019-01-29T14:49:24Z
Available date
dc.date.available
2019-01-29T14:49:24Z
Publication date
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1990
Cita de ítem
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Revista medica de Chile, Volumen 118, Issue 7, 2018, Pages 772-776
Identifier
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00349887
Identifier
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https://repositorio.uchile.cl/handle/2250/160848
Abstract
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Percutaneous drainage has been widely accepted as the preferred treatment for abdominal abscess. Indications have been clarified recently and the absence of a secure route is the only absolute contraindication. We performed this procedure in 65 patients with abdominal abscess at different locations: liver 27, subphrenic 33, lesser cavity 3 and perirenal 3. Overall success rate was 85%, with 89% for liver and 88% for the subphrenic location. Six patients died of multisystemic failure even though the abscess was properly drained. Four patients were operated on for persistent abscess. A pancreatic fistula was shown in 1 and a peritoneal hydatid cyst was the original lesion in the other. Pneumothorax occurred in 5 patients requiring drainage in 2. Two other patients developed hydro-pneumothorax and empyema, that was drained. The overall complication rate was 14%. Thus, percutaneous drainage is a simple and highly successful treatment for abdominal abscess. Results are influenced by the acc