Volume : 8, Issue : 4, April - 2019

COMPARATIVE STUDY IN MANAGEMENT OF HEPATIC ABSCESS DRAINAGE USING ULTRASOUND GUIDED NEEDLE ASPIRATIONS VERSUS PIGTAIL CATHETER PLACEMENT.

Dr. Vijay Kulshrestha, Dr. Shabir Ahmed Dar, Dr. Mohd. Aslam Khan, Dr. Alok Maheshwari, Dr. Mohammad Zakiuddin

Abstract :

Objective: The aim of this study was to compare the effectiveness of percutaneous needle aspiration (PNA) and percutaneous catheter drainage (PCD) in the management of hepatic abscess. Methods: The current study includes prospective randomized comparative study of 60 patients admitted in emergency and indoor department at tertiary health care centre, randomized into two groups- Percutaneous needle aspiration (PNA) & Pigtail catheter drainage (PCD). The effectiveness of hepatic abscess is based early recovery period, duration of hospital stay, and clinical improvement status. Results: The recovery rate was significantly improved in catheter drainage group. The analysis showed that outcomes in patients treated with PCD were superior to those in patients treated with PNA in terms of early recovery, clinical improvement and days to achieve a 50% reduction in abscess cavity size. Conclusion: Both PNA and PCD are safe methods of draining hepatic abscesses. However, PCD is more effective than PNA because it facilitates a higher success rate, reduces the time required to achieve clinical relief and supports a 50% reduction in abscess cavity size. However, among successfully treated patients, the outcomes of PNA are comparable with those of PCD.