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Masters Thesis | Surgery | India | Volume 12 Issue 11, November 2023 | Rating: 5.2 / 10
To Study the Profile of Liver Abscess and its Prognosis after Conservative vs Ultrasound Guided Pigtail Drainage vs Surgical Management and Significance of Albumin and Globulin Ratio
Dr. Ashwini Kumar [4] | Dr Raj Kumar
Abstract: Aim and objectives: To study the profile of liver abscess and prognosis of patients after conservative, USG guided pigtail drainage and surgical management. Materials and method: This prospective study was undertaken at the Department of Surgery, at Motilal Nehru Medical College, Prayagraj between October 2020 - September 2021. The patients were divided into 3 groups on the basis of the their management, namely, Group I - Conservative management, Group II - USG guided pigtail drainage and Group III - Open surgical drainage. Results: Most commonly found in males (Male: Female ratio was 11.5: 1) and most common age group was 30 - 60 years. Most common procedure done was USG - guided pigtail drainage in 33 patients with 100% success rates. There were 24 (48%) patients with AGR > 0.96 and 26 (52%) patients with AGR ? 0.96. The baseline data and treatment plans of the patients with high or low AGR were comparative. However, the patients with a low AGR had higher body temperature, higher WBC counts, deranged liver function tests, larger abscess volume, higher positive rate of pus culture, hence increasing the duration of hospital stay. Conclusion: The application of contemporary radiographic methods has shown to be of significant assistance in the early identification and therapy of liver abscess, which has resulted in a reduction in the morbidity and mortality rates associated with the condition.
Keywords: Liver Abscess, Catheter drainage, AG Ratio, Duration of hospital stay, Surgical management
Edition: Volume 12 Issue 11, November 2023,
Pages: 1822 - 1826