A STUDY BETWEEN PERCUTANEOUS ASPIRATION AND PIGTAIL DRAINAGE IN 70 CASES OF LIVER ABSCESS

Abstract

INTRODUCTION: Liver abscess, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. nd India has the 2 most burden of liver abscess amongst all the other countries. The advances in radiology like ultrasonography (USG) and CT-scan resulted in introduction of radiological guided aspiration and drainage of intra-abdominal abscesses as many cases are refractory to medical therapy. AIMS AND OBJECTIVES:To evaluate: demographic prole, etiology, clinical presentation and its management. MATERIALS AND METHODS: Study size and period: 70 cases, March 2021 – 2022 Study conducted at: S.V.PHOSPITAL, Ahmedabad Needle aspiration Guidelines: abscess size >5cm or >65cc volume Pig Tail Catheter drainage Guidelines: abscess size >8 cm or >120cc volume. USG done: on Day 1,3,7,30. Patients above 18 years and willing for long follow-up were included in study. Regular follow up with USG on every visit of the patient was done. RESULTS: The mean hospital stay of Percutaneous aspiration (2.8 days) was less as compared to pigtail drainage (4.6 days) and hence the patient compliance is more in aspiration. But for the complete resolution of abscess cavity especially for large abscesses pigtail drainage offers better advantage than percutaneous needle aspiration provided the cavity is adequately liquied. CONCLUSION: Percutaneous needle aspiration is minimally invasive and readily acceptable but not useful in large abscess. And pigtail catheter drainage of abscess under USG guidance is better, safe and effective in larger abscesses but required longer hospital stay. As there is no signicant difference in cavity resolution rate, Both Procedures could be used with equal efcacy in properly selected cases.