A COMPARATIVE STUDY BETWEEN MEDICAL THERAPY AND USG GUIDED ASPIRATION VERSUS MEDICAL THERAPY ALONE IN UNCOMPLICATED AMOEBIC LIVER ABSCESS IN A RURAL BASED TEACHING INSTITUTION

AMIT KUMAR DAS; ARUNAVA GHOSH

Volume : VII, Issue : XII, December - 2018

A COMPARATIVE STUDY BETWEEN MEDICAL THERAPY AND USG GUIDED ASPIRATION VERSUS MEDICAL THERAPY ALONE IN UNCOMPLICATED AMOEBIC LIVER ABSCESS IN A RURAL BASED TEACHING INSTITUTION

Amit Kumar Das, Arunava Ghosh

Abstract :

Background–There are different views and protocols for the management of asymptomatic medium sized (4cm–8cm) ALA. Our aims to study the therapeutic efficacy of medical therapy alone and ultrasound guided needle aspiration of uncomplicated medium sized ALA. Methods– This prospective observational study was conducted in the Department of General surgery and Radiodiagnosis, Bankura Sammilani Medical College from March 2017 to August 2018. Total 56 patients were selected and divided into two groups , study group–I (N=31) and study group –II (N=25). Results– The mean change in VAS in study group I patients was 3.54 and in study group II patients it was 5.43. The mean change in size of abscess cavity at 72 hours in study group I patients was 0.48 cm and in study group II patients it was 0.96 cm. Conclusion– Ultrasound guided needle aspiration in uncomplicated medium–sized ALA is better in subjective improvement in pain.