Experience of application of interventional sonography in treatment of patients with bacterial hepatic abscesses

Keywords: bacterial hepatic abscesses; surgical treatment; the puncture sanation; sonoscopic controlled drainage.

Abstract

Objective. To analyze the possibilities and efficacy of application of the intervention sonography in complex surgical treatment of patients with bacterial hepatic abscesses.

Materials and methods. Results of treatment of 39 patients with hepatic abscesses in Department of Surgery № 3 through period from 2012 till June 2019 yr was presented. The patients were treated, using the puncture aspiration or drainage of abscesses under sonographic guidance. In hepatic abscesses with diameter up to 40 mm a puncture sanation was applied. In all the patients transcutaneous drainage was performed, not depending from the abscesses dimensions and localization.

Results. Treatment and application of the intervention sonography was effective in 37 (94.9%) patients. Postoperative complications have occurred in 4 (10.3%) patients: hemorrhage inside the abscess cavity (in 2), durable bile leakage via the drain (in 1), migration of the drain from the abscess cavity (in 1). Average stationary stay of the patients was (19,2 ± 1,6) bed-days.

Conclusion. Application of the puncture-draining procedures under sonographic control in treatment of patients, suffering hepatic abscesses constitutes a method of choice, what is caused by their small traumaticity, availability of dynamical control and efficacy in 94.9% patients. But these procedures owe some limitations, connected by the abscesses quantity, their localization, as well as complex configuration and big possibility of presence of large sequesters of necrotized hepatic parenchyma.

Author Biographies

M. V. Bezruchko, Ukrainian Medical Stomatological Academy, Poltava

Bezruchko Maksym Vasylovych, MD, PhD, assistant
Department of Surgery Nr 3,
Ukrainian Medical Stomatological Academy, Poltava, Ukraine
26, Radhospna str, m. Poltava, 36008,
0661218690,
max.bezruchko@ukr.net
ORCID id: 0000-0002-1598-1150.

S. I. Panasenko, Ukrainian Medical Stomatological Academy, Poltava

Panasenko Serhii Ivanovych, MD, DSci(Med), Associate Professor
Chief of Department of Surgery Nr 3,
Ukrainian Medical Stomatological Academy, Poltava, Ukraine
26, Radhospna str, m. Poltava, 36008,
0661218690, (0532) 67-62-76,
pansi@ukr.net.
ORCID id: 0000-0003-2952-1670.

O. S. Osipov, Ukrainian Medical Stomatological Academy, Poltava

Osipov Oleksandr Serhiiovych, MD, PhD, assistant
Department of Surgery Nr 3,
Ukrainian Medical Stomatological Academy, Poltava, Ukraine
26, Radhospna str, m. Poltava, 36008,
0661218690, (0532) 67-62-76,
doc81pl@gmail.com.
ORCID id: 0000-0002-6823-0211.

V. S. Drabovskyi, Ukrainian Medical Stomatological Academy, Poltava

Drabovskyi Vitalii Serhiiovych, MD, PhD, assistant
Department of Surgery Nr 3,
Ukrainian Medical Stomatological Academy, Poltava, Ukraine
26, Radhospna str, m. Poltava, 36008,
0661218690, (0532) 67-62-76,
drabovskiy1987@gmail.com.
ORCID id: 0000-0003-4111-7179.

Ya. V. Rybalka, Ukrainian Medical Stomatological Academy, Poltava

Rybalka Yaroslav Volodymyrovych, MD, PhD, assistant
Department of Surgery Nr 3,
Ukrainian Medical Stomatological Academy, Poltava, Ukraine
26, Radhospna str, m. Poltava, 36008,
0661218690, (0532) 67-62-76,
yaroslavrybalka777@gmail.com.
ORCID id: 0000-0002-2525-0618.

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Published
2020-06-26
How to Cite
Bezruchko, M. V., Panasenko, S. I., Osipov, O. S., Drabovskyi, V. S., & Rybalka, Y. V. (2020). Experience of application of interventional sonography in treatment of patients with bacterial hepatic abscesses. Klinicheskaia Khirurgiia, 87(3-4), 31-34. https://doi.org/10.26779/2522-1396.2020.3-4.31
Section
General Problems of Surgery