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Open Access 01-10-2013 | Original Article

Factors influencing the outcome of image-guided percutaneous drainage of intra-abdominal abscess after gastrointestinal surgery

Authors: Yoshiki Okita, Yasuhiko Mohri, Minako Kobayashi, Toshimitsu Araki, Koji Tanaka, Yasuhiro Inoue, Keiichi Uchida, Koichiro Yamakado, Kan Takeda, Masato Kusunoki

Published in: Surgery Today | Issue 10/2013

Abstract

Purpose

To improve the selection of patients for percutaneous abscess drainage (PAD) to treat postoperative intra-abdominal abscess after gastrointestinal surgery, we investigated the factors predictive of outcome.

Methods

Of 143 consecutive patients with symptomatic postoperative intra-abdominal abscess after a gastrointestinal tract resection, 104 who underwent image-guided PAD as the initial treatment were reviewed. We assessed the possible associations between successful PAD and patient-, abscess-, surgical-, and drainage-related variables, and investigated the success rates of PAD for patients with vs. those without the factors related to successful outcome.

Results

Based on monitoring for 1 year after PAD, the success rate of this procedure was 85.6 % (89/104). Multivariate analysis revealed that the interval between surgery and the onset of abscess (p = 0.0234) and a single abscess (p = 0.0038) were independently associated with a successful outcome. Single late-onset abscess resolved completely within 10 weeks in 91.4 % of these patients.

Conclusions

Despite new strategies aimed at preventing surgical site infection, PAD remains an important factor in the postoperative management of gastrointestinal surgery in Japan. Initial recognition of the day of onset and the number of abscesses are important prognostic factors.

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Title: Factors influencing the outcome of image-guided percutaneous drainage of intra-abdominal abscess after gastrointestinal surgery
Authors: Yoshiki Okita
Yasuhiko Mohri
Minako Kobayashi
Toshimitsu Araki
Koji Tanaka
Yasuhiro Inoue
Keiichi Uchida
Koichiro Yamakado
Kan Takeda
Masato Kusunoki
Publication date: 01-10-2013
Publisher: Springer Japan
Published in: Surgery Today / Issue 10/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0504-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Factors influencing the outcome of image-guided percutaneous drainage of intra-abdominal abscess after gastrointestinal surgery

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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