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Masters Thesis | Surgery | India | Volume 12 Issue 11, November 2023 | Popularity: 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, 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
DOI: https://www.doi.org/10.21275/SR231124002405
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