A RANDOMIZED COMPARATIVE STUDY OF CONSERVATIVE VS PERCUTANEOUS NEEDLE ASPIRATION OF LIVER ABSCESS BASED ON PERCENTAGE OF ITS LIQUEFACTION.

Abstract

Introduction:- Liver abscess is one of the common acute abdominal condition. Conservative management and percutaneous needle aspiration are the commonly used methods of management. But there is no common consensus between the physicians regarding best option out of these two. To Aim:- compare and to identify the better treatment modality among these two options for the treatment of liver abscess based on the percentage of liquefaction. A total of 140 patients with liver abscess were included in the study. T Patients and Methods:- hey were grouped in to Group A and B, based on percentage of liquefaction, they were further subdivided into conservative and aspiration subgroups and randomized. The outcomes of the two procedures were studied with respect to reduction in abscess cavity size, reduction in leukocyte count and patient's satisfaction. There was a signicant reduction in the ab Results:- scess size and leukocyte count in conservative subgroup of group-A, than conservative sub group of group B. Whereas there was signicant reduction abscess size and leucocyte count noted in aspiration sub group of Group B than aspiration sub group of Group A. Signicantly more number of the patients in conservative subgroup of group-A expressed their satisfaction, than conservative sub group of group B. Whereas signicantly more number of patients in aspiration sub group of the group B expressed their satisfaction than aspiration sub group of group A. present study concludes that conservative Conclusion:- treatment is also better option for liver abscess with 30-50% liquefaction, and aspiration is ideal for 50-70% liquefaction