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Cirugía paraguaya
On-line version ISSN 2307-0420
Abstract
MIRANDA VERGARA, Rita; DA SILVA MEDINA, Luis Anibal and RODRIGUEZ GONZALEZ, Agustín. MANEJO PERCUTÁNEO DE COLECCIONES ABDOMINALES EN EL HOSPITAL DISTRITAL DE VILLA ELISA: PERCUTANEOUS TREATMENT OF ABDOMINAL COLLECTIONS IN THE DISTRICT HOSPITAL OF VILLA ELISA. Rev. Cir. Parag. [online]. 2015, vol.39, n.2, pp.24-28. ISSN 2307-0420. https://doi.org/10.18004/sopaci.2015.diciembre.24-28.
SUMARY Abdominal abscess are defined as localized collections of pus, germs visualizated in a frotis or grow in culture. These become important when they become symptomatic. Actually, percutaneous drainage is the gold standard, reserving the surgery approach for a few special cases. This is due to the advanced of technology, particularly the ultrasound. Objective: to demonstrate the feasibility of percutaneous management of intraabdominal collections in a peripheral low complexity hospital, with ultrasound availability. Design: retrospective, longitudinal, observational, quantitative, no randomized, with analytical component. Patients and methods: patients with diagnosis of intraabdominal collections, admitted in surgery service of the Hospital Distrital of Villa Elisa, from June of 2014 to September of 2015. Results: 5 patients studied, 60% female, with clinical of abdominal pain, distension, palpation of abdominal mass or fever. Laboratorial findings neutrophilic leukocytosis. In all cases, percutaneous drainage was made it under ultrasound view, using 10 Fr multipurpose catheter, using trocar technique. Success was possible in 80% of the cases. Conclusion: the management of abdominal collections is possible in peripheral low complexity hospitals.
Keywords : abdominal collection; percutaneous drainage.