Appendicular Abscess: Immediate Surgery or Per-cutaneous Drainage?

SALEH, MOHAMED ABD-ALFATTAH; Refaat, Doaa Omar; Abdel Moneim, Hatem Mohamad; Habib, Dady Mehaney

doi:10.21608/zumj.2019.17999.1581

Appendicular Abscess: Immediate Surgery or Per-cutaneous Drainage?

Document Type : Original Article

Authors

¹ GENERAL SURGERY- FACULTY OF MEDICINE- ZAGAZIG UNIVERSITY

² Department of general surgery- Faculty of Medicine- Zagazig University.

³ Department of General Surgery, Zagazig University,Sharkia,Egypt

10.21608/zumj.2019.17999.1581

Abstract

Abstract
Objectives: The aim of the work is to compare the results of immediate open surgical drainage versus image guided percutaneous drainage in the proper management of patients with appendicular abscess.
Methods: This prospective randomized study was carried out during the period between March 2018 to March 2019. in the department of general suegery and Radiology, faculty of medicine , zagazig university.
Results: The study included 40 patients was diagnosed as appendicular abscess, in the emergency unit, department of general surgery, faculty of medicine, Zagazig University. The mean age of the patients (N=40) was 33.5 years. And males to female's ratio was 65:35% in the open surgery group (n=20). While it was 50:50% in the conservative group (n=20).
Conclusion: Appendicular abscesses caused by complicated acute appendicitis may be treated by safe and effective manner; through US-guided percutaneous drainage with high technical and clinical success rates, low incidence of complications and shorter hospital stay.

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