Volume : VIII, Issue : IV, April - 2018

A COMPARATIVE STUDY OF VARIOUS MODALITIES OF TREATMENT OF LIVER ABSCESS

Dr. N. Muthusamy, Dr. P. Deepa

Abstract :

OBJECTIVE:To study the various clinical presentations and to compare the effectiveness and outcome of various treatment modalities in liver abscess.

METHODS: This was a hospital based prospective study done over 54 patients

RESULTS:Out of 54 selected cases, 47 cases are having amoebic liver abscess and 7 patients are having pyogenic liver abscess.Amoebic liver abscess is commonly seen in the age group between 30–50 years and the pyogenic liver abscess in the age group more than 60 years.In amoebic liver abscess males are commonly affected than the females (8.4: 1) whereas in pyogenic liver abscess there is equal distribution. 48 patients had right lobe abscess 5 patients had left lobe abscess. In amoebic liver abscess 85.7% patients are having abdominal pain and in pyogenic liver abscess fever is seen all the patients. The abscess size < 5cm are treated by drugs and size >5cm are treated by ultrasound guided aspiration, percutaneous catheter drainage, laparoscopic drainage method, anyone can be opted with drugs.The duration of hospital stay is 4 days in laparoscopic drainage method, 5 days in percutaneous catheter drainage, 7–10 days in needle aspiration method. There is a 100% recovery rate in patients treated with laparoscopic method and 80% recovery rate in patients treated with percutaneous drainage and needle aspiration method.

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CONCLUSION

In case of abscess size is less than 5 cm drugs alone are enough. If the abscess size is more than 5 cm and large abscess without complications treatment options may be carried outwith procedures and drugs.The best procedure is laparoscopic drainage method.But if the abscess has ruptured with peritonitis, open surgical method is best option. In multiple abscesses both laparoscopic method and open surgical methods can be tried. To minimise the hospital stay laparoscopic drainage method is the best method.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. N. MUTHUSAMY, Dr. P. DEEPA, A COMPARATIVE STUDY OF VARIOUS MODALITIES OF TREATMENT OF LIVER ABSCESS, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-4 | April-2018

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