Wani RA1*, Digra NC1 and Gupta K2
1Department of General Surgery, Government Medical College Jammu, India
2Department of Radiodiagnosis, Government Medical College Jammu, India
Aim: To study demographic and clinical profile of patients presenting with intra-abdominal
collections/abscesses and feasibility of image-guided percutaneous drainage as temporarizing
measure or definitive treatment.
Material and Methods: This is a prospective study of all the patients of intra abdominal collections
or abscesses presenting to a surgical unit in a tertiary care hospital of a developing country. Imageguided
Percutaneous Drainage (PCD) was offered as initial treatment modality and results were
Results: Around 90% of intra-abdominal collections in our study comprised of liver abscesses,
postoperative collections and peripancreatic collections following acute pancreatitis. Majority of
postoperative collections resulted from surgeries performed in emergency settings. Overall success
rate of PCD is 92%; and it serves as complete cure in around 85% cases and as temporarizing
measure in 8% patients, most of them being critically-ill.
Conclusion: Image-guided percutaneous drainage is the least invasive drainage procedure for
intra abdominal collections/abscesses with fairly good success rate. PCD coupled with directed
antibiotic therapy can replace conventional open or laparoscopic modalities in majority of such
cases. Moreover PCD can act as a temporarizing measure in critically ill patients with comorbidities,
often deemed unfit for general anesthesia.
Wani RA, Digra NC, Gupta K. Image- Guided Percutaneous Drainage of Intra Abdominal Fluid Collections and Abscesses: A Hospital Based Prospective Study. World J Surg Surgical Res. 2020; 3: 1219..