A COMPARATIVE STUDY OF PERCUTANEOUS NEEDLE ASPIRATION AND CATHETER DRAINAGE IN MANAGEMENT OF LIVER ABCESS

Abstract

Modern management of liver abcess include a combination of percutaneous Needle aspiration or percutaneous Catherter drainage along with intravenous antibiotic .Liver abcess is common disease in india, if not treated properly can lead to hazardous complication. MATERIAL AND METHOD; This was comparative study of 30 patient from august 2018 to August2020 in civil hospital ahmedabad. Randomization was done and dived into two groups of 25 each and assigned two group as percutaneous Catherter drainage and needle aspiration. Both groups were given intravenous antibiotics for 7 days .Both modalities were performed under guidance of ultrasound imaging. Needle aspiration was repeated for three times and if size of abcess cavity not reduced to half consider as failure of treatment. Effectiveness of treatment measured in term of days to achieve clinical improvement, total/near total resolution of abcess cavity and duration of hospital stay. RESULT; Needle aspiration was successful in 13 out of 15,whereas percutaneous drainage was successful in 14 out of 15.Duration of hospital stay were significantly lower in percutaneous drainage.one patient with needle aspiration developed subcapsular hematoma. CONCLUSION; We can conclude that percutaneous drainage is better modality is better modality as compared to needle aspiration in medium to large size liver abcess. The duration of hospital stay is comparatively lower in percutaneous drainage and days of clinical relief were earlier in percutaneous drainage. This study also verify that both were adequately effective in the treatment of liver abcess. *AIM OF THE STUDY To compare the effectiveness of percutaneous catheter drainage and percutaneous needle aspiration in management of liver abcess.