Abstract

MARTINEZ-BOGADO, Fernando  and  VIETH-GARCIA, Mónica. Percutaneous surgery, 5 years experience in a medium complexity hospital. Cir. parag. [online]. 2023, vol.47, n.2, pp.24-27. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2023.agosto.24.

Introduction: Percutaneous drainage is an effective therapy for collections and other pathologies. The commonly used imaging guides are ultrasound and tomography. Methods: Descriptive, retrospective cross-sectional study, review of medical records of patients who underwent percutaneous drainage at the Hospital Regional de Encarnación over a 5-year period were analyzed. Results: 81 patients were included (53% males, 47% females), with an average age of 50 years. Indications were as follows: 21% hepatic abscess, 11% postoperative collections, 10% biliary drainage, 9% nephrostomies, and 7% gastrostomies. 56% of procedures were guided by ultrasound. The Seldinger technique was predominantly used, with the multipurpose pigtail catheter employed in 65% of cases, and the central venous catheter in 23%. The average catheter duration was 15 days, with a 4% complication rate. The success rate was 98.5%. Conclusions: Percutaneous surgery is effective and safe. The use of catheters without internal fixation (central venous catheters) is valuable in emergency situations, posing no significant risk.

Keywords : Percutaneous drainage; collection; ultrasound guidance; central venous catheters..

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