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Percutaneous drainage of postoperative abdominal abscess with limited accessibility: preexisting surgical drains as alternative access route
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Young Jun | - |
dc.contributor.author | Han, Joon Koo | - |
dc.contributor.author | Lee, Jeong Min | - |
dc.contributor.author | Kim, Se Hyung | - |
dc.contributor.author | Lee, Kyoung Ho | - |
dc.contributor.author | Park, Seong Ho | - |
dc.contributor.author | An, Su Kyung | - |
dc.contributor.author | Lee, Jae Young | - |
dc.contributor.author | Choi, Byung Ihn | - |
dc.date.accessioned | 2009-10-05T05:42:11Z | - |
dc.date.available | 2009-10-05T05:42:11Z | - |
dc.date.issued | 2006-03-30 | - |
dc.identifier.citation | Radiology 2006;239(2):591-598. | en |
dc.identifier.issn | 0033-8419 (Print) | - |
dc.identifier.issn | 1527-1315 (Electronic) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16569784 | - |
dc.identifier.uri | https://hdl.handle.net/10371/10081 | - |
dc.description.abstract | PURPOSE: To retrospectively assess the effectiveness and safety of postoperative percutaneous drainage of abdominal abscesses with limited accessibility by using a preexisting surgical drain as an access route. MATERIALS AND METHODS: The study was approved by the institutional review board, and informed consent was not required. The authors reviewed the medical records of 92 patients (62 male, 30 female; median age, 59 years; age range, 3-79 years) with postoperative abdominal abscesses in whom percutaneous drainage was performed by using surgical drains as an access. Factors evaluated included the location and size of the lesion; time between surgery and the drainage procedure; distance between the lesion and surgical drain; presence of fistula; duration of drainage; type of surgical drain; size, type, and length of drainage catheter; and complications. Technical success was defined as adequate placement of a new drainage catheter into the target abscess. Midterm success was defined as avoidance of surgery or additional percutaneous drainage during the 6 months of follow-up. Univariate analysis and multiple logistic regression analysis were performed to determine factors that affected the technical or midterm success of the procedure. RESULTS: Of 92 postoperative abscesses for which the technique was attempted, 56 (61%) had a subphrenic location and 36 (39%) had a peripancreatic location. Technical success was achieved in 87 of the 92 patients (95%). Technical success was not significantly associated with any of the factors tested. Midterm success was achieved in 75 of the 87 patients (86%) in whom technical success was achieved. Midterm failure showed a statistically significant relationship with the presence of fistula (P = .04). No procedure-related complications were identified. CONCLUSION: Percutaneous drainage by using the surgical drain as an access route is an effective and safe alternative for draining postoperative abdominal abscesses that are less accessible with direct puncture.. | en |
dc.language.iso | en | - |
dc.publisher | Radiological Society of North America | en |
dc.subject | Abdominal Abscess/*surgery | en |
dc.subject | Child, Preschool | en |
dc.subject | Postoperative Complications/*surgery | en |
dc.subject | Remission Induction | en |
dc.subject | Retrospective Studies | en |
dc.subject | Treatment Failure | en |
dc.title | Percutaneous drainage of postoperative abdominal abscess with limited accessibility: preexisting surgical drains as alternative access route | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 김영준 | - |
dc.contributor.AlternativeAuthor | 한준구 | - |
dc.contributor.AlternativeAuthor | 이정민 | - |
dc.contributor.AlternativeAuthor | 김세형 | - |
dc.contributor.AlternativeAuthor | 이경호 | - |
dc.contributor.AlternativeAuthor | 박성호 | - |
dc.contributor.AlternativeAuthor | 이재영 | - |
dc.contributor.AlternativeAuthor | 최병인 | - |
dc.identifier.doi | 10.1148/radiol.2392050301 | - |
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