EVALUATION THE RESULT OF ULTRASOUND – GUIDED PERCUTANEOUS DRAINAGE FOR THE MANAGEMENT OF APPENDICEAL ABSCESS AT BACH MAI HOSPITAL

Văn Khảng Lê, Thị Yến Lê, Thị Kiều Oánh Đoàn, Thị Thu Thảo Nguyễn, Thị Khơi Nguyễn, Đăng Lưu Vũ

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Abstract

Object: Evaluating the result of ultrasound-guided percutaneous drainage for the management of appendiceal abscess at Bach Mai Hospital. Materials and methods: Retrospective, cluster analysis. A total of 19 patients diagnosed with appendiceal abscesses underwent ultrasound-guided percutaneous drainage at Bach Mai Hospital from 01/2023 to 04/2024. Results: 19 patients (10 men and 9 women), mean age was 46,84 years (09-90). The main clinical signs found were abdominal pain (100%). 47,37% patients were fever. The mean appendiceal abscess size was 48,75mm. Patients in the study were selected to have catheter sizes 8F, 9F, and 10F, in which the number of cases using the 10F catheter accounted for the highest proportion of 57,89%. No cases of complications after drainage. Clinical and laboratory symptoms were significantly reduced compared with pre-drainage. The hospitalization period was an average 6,48 days (3-18). The recurrent appendicitis was 21,06%. Conclusion: Ultrasound-guided percutaneous drainage for the management of appendiceal abscesses is a minimally invasive, safe, and effective method.

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References

1. Nguyễn ĐH. Bệnh Học Ngoại Khoa Đại Học y Dược TP. Hồ Chí Minh. Nhà xuất bản Y học; 1988.
2. Sherlock DJ. Acute appendicitis in the over-sixty age group. Br J Surg. 1985;72(3):245-246. doi:10.1002/bjs.1800720337
3. Bradley EL, Isaacs J. Appendiceal abscess revisited. Arch Surg Chic Ill 1960. 1978;113(2): 130-132. doi:10.1001/ archsurg.1978. 01370140020003
4. Boubacar K, Idrissa T, Issaka D, et al. Appendicular Abscess: Epidemio-Clinical and Therapeutic Aspects in the General Surgery Department of the Reference Health Center of Commune III (C.s.ref CIII) of the District of Bamako. Surg Sci. 2023; 14(2):77-83. doi: 10.4236/ss.2023.142010
5. Gordon LT, James RW. “Appendix”, Surgery of the Alimentary Tract. Vol Volume IV.; 2002.
6. Immediate operation versus percutaneous drainage for treatment of appendicular abscess - ScienceDirect. Accessed July 12, 2024. https://www.scie ncedirect.com/ science/ article/ /S0378603X15001308
7. Kim JK, Ryoo S, Oh HK, et al. Management of Appendicitis Presenting with Abscess or Mass. J Korean Soc Coloproctology. 2010;26(6):413-419. doi:10.3393/jksc.2010.26.6.413
8. Suzuki T, Matsumoto A, Akao T, Matsumoto H. Interval appendectomy as a safe and feasible treatment approach after conservative treatment for appendicitis with abscess: a retrospective, single-center cohort study. Updat Surg. 2023; 75(8): 2257-2265. doi:10.1007/s13304-023-01679-1
9. Darwazeh G, Cunningham SC, Kowdley GC. A Systematic Review of Perforated Appendicitis and Phlegmon: Interval Appendectomy or Wait-and-See? Am Surg. 2016;82(1):11-15.