Percutaneous Aspiration, Lavage and Antibiotic Instillation

Aws S Salim

doi:10.1155/1992/98905

Abstract

Percutaneous Aspiration, Lavage and Antibiotic Instillation

Highlights

Patients judged suitable for the study were those presenting with clinical signs and symptoms (including a positive Murphy’s sign) of acute cholecystitis coupled with pyrexia (more than 38 C), tachycardia, leucocytosis, normal serum amylase levels and liver function tests, and ultrasonic evidence of a distended gallbladder containing one or more stones
Patients judged suitable for the study were those presenting with clinical signs and symptoms of acute cholecystitis coupled with pyrexia, tachycardia, leucocytosis, normal serum amylase levels and liver function tests, and ultrasonic evidence of a distended gallbladder containing one or more stones
In many surgical units early cholecystectomy for acute cholecystitis comprises the standard of care and provides optimal therapy2’3’4, the morbidity and mortality of this procedure in patients who are over 50 years of age, those with jaundice, the obese, and those who have a non-functioning gallbladder, remain higher than those of elective surgery2’3

Summary

Introduction

Patients judged suitable for the study were those presenting with clinical signs and symptoms (including a positive Murphy’s sign) of acute cholecystitis coupled with pyrexia (more than 38 C), tachycardia, leucocytosis, normal serum amylase levels and liver function tests, and ultrasonic evidence of a distended gallbladder containing one or more stones. In many surgical units early cholecystectomy for acute cholecystitis comprises the standard of care and provides optimal therapy2’3’4, the morbidity and mortality of this procedure in patients who are over 50 years of age, those with jaundice, the obese, and those who have a non-functioning gallbladder, remain higher than those of elective surgery2’3.

Results

Conclusion