Laparoscopic diagnosis of the abdominal cavity abscesses

The laparoscopic picture of abdominal abscesses in 28 patients is analysed. The presence of a distended paretic loop of the small intestine next to the abscess is an indirect laparoscopic sign of an abscess of the abdominal cavity.     

Endolymphatic administration of antibiotics in the complex treatment of postoperative abscesses in the abdominal cavity

The endolymphatic administration of solutions of antibiotics in complex treatment of patients with intraperitoneal postoperative abscesses resulted in more rapid attenuation of intoxication, improvement of the general state of the patients and their recovery. No complications of the treatment were noted.     

Possibilities of computerized tomography in the diagnosis of abscesses in the abdominal cavity and retroperitoneal space

The article presents results of the computer tomography examination of 205 patients at different terms after operations who were clinically suspected of the development of a limited pyo-inflammatory process in the abdominal cavity or retroperitoneal space. Abscesses were revealed in 112 patients, inflammatory infiltrates in 16 patients, the development of purulent complications was excluded in 77 patients which allowed relaparotomy to be rejected in 93 patients. The computer tomography symptoms of abdominal abscesses were established. The dependence of the abscess semiotics on the stage of the suppurative process, its specific localization, intra- or extraorganic disposition, contents and size of the abscess was shown.     

Roentgenological diagnosis of abdominal abscesses

An analysis of clinico-roentgenological data of 74 patients has been made. The patients were operated upon for acute appendicitis (43) and cholecystitis (31) and their postoperative period was complicated by local peritonitis. The importance of indirect and roentgenological symptoms for diagnosis of abscesses in the abdominal cavity is stressed.     

Percutaneous catheter drainage of abdominal abscesses

This paper presents a study of 45 patients who had percutaneous catheter drainage of 52 intra-abdominal abscesses. In 37 patients this was the only treatment necessary; the other 8 needed further surgery to correct the cause of the abscess or treat concurrent surgical disease. The catheter complication rate was 3.8%.     

Percutaneous catheter drainage of abdominal abscesses

Eleven patients with 12 abdominal abscesses underwent percutaneous insertion of tube drains into the abscess cavities under radiographic control. Once inserted the catheters were managed in the same way as surgically placed drains. Broad-spectrum antibiotic cover was provided. Of the abscesses 10 resolved and 2 required open drainage; 1 of the latter patients improved dramatically on percutaneous drainage. There were 2 deaths, neither of which was related to the procedure.     

Use of computerized tomography and echography in the diagnosis and treatment of abscesses of the abdominal cavity and retroperitoneal space

An analysis of complex use of computer tomography and echography for diagnostics, aimed biopsy and following measures in 32 patients with foci of purulent infection in organs of the abdominal cavity and retroperitoneal space has been made. In 11 patients with small abscesses not more than 5 cm in diameter percutaneous aimed punctures of the pus cavity were fulfilled followed by the aspiration of the content and introduction of an antibiotic. In 21 patients percutaneous drains were introduced into the abscesses by Seldinger's method or through a trocar. Curative punctures and percutaneous drainage in 85.7% of the patients gave successful results.     

Computed tomography in the evaluation of abdominal abscesses

Review of experience using computed tomography in 50 patients with a suspected diagnosis of abscess indicated it to be accurate and reliable. Most abscesses were sharply demarcated masses. After intravenous injection of contrast medium, the rim was enhanced in about 35 percent of the patients. In six patients the inflammatory mass had ill-defined borders. It is concluded that when the computed tomographic findings are correlated with clinical history, the correct diagnosis can almost always be reached. If surgery is not contemplated, computed tomography or ultrasound-guided needle aspiration should be performed to confirm the diagnosis.