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Aug 4, 2023Keywords:
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Ultrasound guided drainage of intra-abdominal collections; Results of initial experience from Tikur Anbessa Specialized Hospital
Abstract
Background: Image-guided percutaneous aspiration and drainage (PAD) is a safe and cost-effective means of draining an abscess. PAD is non-invasive and has decreased procedure-associated morbidity and mortality, reduced cost of treatment, and reduced length of hospital stay as compared to open surgical drainage. The widely used imaging modalities that can be used for drainage are ultrasound (US) and Computerized Tomography (CT). This study aims to share our initial experiences in the successful introduction of US-guided percutaneous drainage of intra-abdominal collections in the tertiary center.
Method : An institution-based retrospective record review of patients who were diagnosed to have intraabdominal collections and treated with PAD was done from 2020 back to 2013. Cases were collected from the accessible records of the department of radiology and patient charts were then retrieved. Data was collected using a structured questionnaire and a descriptive analysis of findings was done using SPSS version 25.
Results: A total of 53 patients were retrieved from the record. 35 (66%) were males and 18(34%) were females with patients’ age ranging from 10 years to 80years with a mean age of 43.1+15.8. 59 patients. Most of the intraabdominal collections were either idiopathic or surgical complications which accounted for 60.4% & 18.9% respectively and the success rate of PAD with a single attempt was 90.2% with success increased to 96.2% with a second attempt.
Conclusion: PAD can be used as an alternative way of managing patients with intra-abdominal collections not only in developed nations but also in developing countries like Ethiopia with a high rate of success.
