COMPARISON OF USG GUIDED PIGTAIL CATHETERISATION VS OPEN DRAINAGE IN THE MANAGEMENT OF LIVER ABSCESS

Abstract

Introduction : Liver abscess is a fatal disease. There is a shift in the treatment modality of choice from open surgery to minimal invasive procedure like percutaneous drainage. Aim : Out aim is to compare the USG guided pigtail catheterization vs open drainage in terms efficacy, success rate, clinical improvement, time needed for total resolution of abscess and duration of hospital stay for the patients. Results : There is male dominance in both the groups. Raised ESR and leukocytosis is seen in both the groups. Clinical improvement as seen by relief from fever and leukocytosis is comparable in both the groups. Efficacy is 100% in SD group while it is 96.6% in PD group. Time needed for total reduction of cavity size and hospital stay was significantly less in PD group as compared to SD group (p<0.03). Morbidity is also less in PD group (30%) as compared to SD group (36.6%). Conclusion : Hence we conclude that USG guided percutaneous drainage is better alternative to surgery for liver abscess as it is effective, non-invasive and has less morbidity.