Comparative study of surgical drainage versus percutaneous drainage of psoas abscess

Abstract

Background: Psoas abscesses (PAs) are a rare disease. Primary PA shows hematogenous spread from an unknown source while secondary PA shows direct extension of infection from neighboring organs. Early identification of PA treatment involving sufficient drainage has been aided by computed tomography and magnetic resonance imaging. Aims and Objectives: The aim of the study was to contrast open surgical drainage versus percutaneous drainage (PCD) as a kind of iliopsoas abscess treatment. Materials and Methods: All patients (a total of 50 patients taken) aged more than 18 years with PA were admitted to the Department of Surgery, BJMC between March 2022 and February 2023. Results: In our study, half of the patients receive surgical drainage while the other half receive ultrasonography-guided drainage using a pigtail catheter or needle aspiration. In our study, 50% of patients underwent PCD, of which 38% recovered, and another 50% underwent surgical drainage, of which 46% of patients made a full recovery. In our study, 42% of patients who underwent surgical drainage required a hospital stay of more than 10 days, compared to 40% of patients who underwent PCD. Conclusion: US-guided PCD with the appropriate antibiotics is safe and effective, with a shorter hospital stay, when used to treat PAs. If there is an underlying disease or if the PA is multiloculated, open surgical draining can be necessary.