Md Saiful Rahman, Jagdish Chandra, Qumruddin Ansari

AN OBSERVATIONAL STUDY OF HEPATIC ABSCESS DRAINAGE WITH USG GUIDED PIGTAIL CATHETER

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Background: Ultrasound-guided pigtail catheter drainage is a minimally invasive technique for managing hepatic abscesses. This observational study aims to evaluate the efcacy and safety of this procedure. It will assess successful drainage, resolution of infection, and incidence of complications. The study's ndings could support the use of USG-guided pigtail catheter drainage as a preferred treatment option for hepatic abscesses. Materials & Methods: We did an observational study in Department of General Surgery, Darbhanga Medical College & Hospital started in January 2021 to December 2022, 50 patients with liqueed hepatic abscess(>5 cm) underwent percutaneous pigtail catheter drainage under USG guidance. Results: Study done on 50 patients, out of them male were 47(94%) and female were 3(6%). The most common age group were 41 to 50 years and 31 to 40 years 26% and 24% respectively. 48 patients had solitary abscess, while 2 had multiple abscesses. 36 patients had amoebic abscess, 12 had pyogenic abscess and 2 had mixed infection. Pigtail catheters under USG guidance were introduced in these patients using the trocar technique. The volume of pus drained ranged from 250 to 1120 ml, while the period of catheter drainage ranged from 5 to 16 days. Complications were minor and included catheter displacement in 2 patients, catheter site infection in 1 patients and catheter exit in 1 patients. There was no mortality associated with this procedure. Conclusion: we in our study of 50 patients conclude that USG guided pigtail catheter drainage of hepatic abscesses provides accurate localization, real-time guidance, effective drainage, and favorable patient outcomes. Its advantages, including minimally invasive nature, high success rates, lower complications, low morbidity,no mortality and cost-effectiveness, make it a well-justied and useful technique in the management of hepatic abscesses.

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