Role of USG Guided Percutaneous Needle Aspiration in Pyogenic Liver Abscess

Authors

  • Arun Dhankhar
  • Ravi Mathur

Abstract

Abstract

Background: Liver abscess has been a condition of high mortality and morbidity in past but since there is work done over decades with use of percutaneous aspiration and percutaneous drainage along with antibiotics; percutaneous drainage is currently the treatment of choice in liver abscess. Percutaneous needle aspiration (PNA) as an alternative to continuous percutaneous catheter drainage in combination with systemic antibiotics for the treatment of PLA has never been popular.Aims and Objectives: To analyze the role of ultrasound (USG) guided percutaneous needle aspiration in the treatment of PLA.Material and Methods: A total number of 25 patients over a time period from March 2016 to February 2017 irrespective of their age. All patients with PLAs underwent PNA with ultrasound (USG) guidance and antibiotic therapy. Complete pus removal from each abscess was attempted with 18 gauge thin-walled trocar needles with USG guidance.Results: The rate of success was unrelated to the large size or number of abscess in the patient. A complete cure (normalization of clinical and laboratory parameters and resolution of hepatic lesions) was achieved in all the patients (100%). Imaging-guided percutaneous catheter drainage or open surgery was not needed in any of the patient. Neither complications nor deaths ensued. Recurrence rate was nil.Conclusions: PNA with USG-guided in treatment for PLA is a low-cost, safe and effective procedure. It should be considered as a first line alternative to catheter drainage. Our data suggest that a trial of percutaneous needle aspiration should always be undertaken before catheter drainage or surgery.

Keywords: Pyogenic liver abscess, ultrasonography, percutaneous needle aspiration

Cite this Article

Arun Dhankhar, Ravi Mathur. Role of USG Guided Percutaneous Needle Aspiration in Pyogenic Liver Abscess. Research & Reviews: Journal of Surgery. 2017; 6(2): 22–27p.

Author Biographies

  • Arun Dhankhar

    PARTICULARS OF DR. RAVI KUMAR MATHUR

     

    Name                         DR.RAVI KUMAR MATHUR

    Father’s Name            Mr.KRISHAN SWARUP MATHUR

    Date of Birth              24th May 1955

    Sex                              Male

    Permanent Address    111/402 SHIPRA PATH AGARWAL FARM, JAIPUR-302020

    RAJASTHAN, I N D I A

    TEL: 0141-2396294 /09413566600(M)09950996294(M)

    EMAIL: [email protected]

     

    ACADEMIC EXPEIRIENCES

    1. Certificate course in LAPAROSOPIC   SURGERY: NOV.1997 - FMC New Delhi

    2…M.S (General Surgery): March 1982, I Attempt - S.M.S.Medical College/Rajasthan University

    3. Final MBBS                       : July 1977         -do-                            -do-

    4. Second MBBS                    : Oct 1975         -do-                             -do-

    5. First MBBS                        : March 1974     -do-                             -do-

    6. TDC Ist Year                      : July 1972    Hons.Physics                Maharaja’ College

    7. Higher Secondary               : March 1971 Hons.Biology/Chemistry     Rajasthan

    8. Secondary School               : March 1970 Hons.Biology                 Secondary Board

     

    PROFESSIONAL EXPERIENCES

    1. Rotatory Housemanship                        S.M.S Medical College, Jaipur.       1 Year

    2. Resident House Officer (Gen.Surg.)                   -do-                                    7 Months

    3. RHO (Orthopaedics)                                           -do-                                    2 Months

    4. RHO (Neuro Surg.)                                             -do-                                    2 Months

    5. RHO (Pediatric Surg.)                                        -do-                                     2 Months

    6. Resident Registrar (Gen.Surg./Oncology)          -do-                            1 Year&3Months

    7. Resident Senior Registrar (-do-)                         -do-                            1 year&3Months

     

    PROFESSIONAL EXPERIENCES

    1. Civil Assistant Surgeon Medical Health Deptt.Govt.of Rajasthan India

    2.Assistant Prof.Surgery & Consultant Surgeon-Shahid Rasi Hospital, Medical      University of Orumieh,West Azar Baijan,Iran..

    3. Consultant Surgeon-Rungta Hospital, Jaipur.

     

    TEACHING EXPERIENCES

    1. Assistant Prof. Surgery-Medical University Orumieh, West Azar Baijan, Iran.

    From 13th Sept.’84 to 3rd April’96(11Years&6Monts)

    2. Assistant  Prof. Surgery-NIMS Medical College & Hospital, Jaipur. From 6th Feb.2001 to 16th Feb. 2009.

    3. Associate Professor Surgery-NIMS Medical College and Hospital, Jaipur from 17th Feb 2009 to 16th Feb.2013

    4. Professor & Unit Head – General & Laparoscopic Surgery, NIMS University Medical College, Jaipur from 17th Feb.2013 till date.

     

    .

    PROFESSIONAL ACTIVITIES

    1. Epidemiological & Clinico-pathological study of Oral Cancer & Regional Lymph Nodes.

    2. Immediate Post Operative Adjuvant Chemotherapy in Early Breast Cancer.

    3. Clinical Presentation & Management of Male Breast Cancer.

    4. Medical Management of Advanced Breast Cancer.

    5. Post Operative Complications following Radical Neck Dissection.

    6. Chemotherapy in Head & Neck Cancers

    7. Epedemiology of Oral Cancers-Asian Cancer Conference 1984, New Delhi.

    8. DNB Coordinator, National Board of Examination, New Delhi.

    9. DNB Counselor, National Board of Examination, New Delhi.

    10. External and internal examiner – for MBBS and BDS examinations.

    11.DNB Postgraduate Examiner.

    MEMBERSHIP OF PROFESSIONAL SOCIETIES/ASSOCIATIONS

    1. Life member of Association of Surgeon of India (ASICON)

    2. Life member of ASIRAJ

    3. Life member of Friends Medical Centre, New Delhi

    4. Member of Rajasthan Medical Council.

    5. Life member of Indian Association of Gastrointestinal Endo-Surgeons

    (IAGES)

     

    REFERENCES

    1. Dr. P.K.Wanchoo.MS.FICS.FACS.Ex.Senior Prof.  &Head Deptt.of Surgery

    S.M.S. Medical College & Hospital Jaipur, India.

    2. Dr. Amit Modwal MS Prof. of ENT, NIMS Medical College, Jaipur.

    3. Dr. Mohd.Ali Nahali.Director & Chief. Medical& Health Organisation.Shahindeg, West Azar Baijan, Iran.

    4. Dr. B.S.Tomar Chairman and Chancellor, NIMS University & Prof. & Head.Deptt.of  Paediatrics Gastroenterology. NIMS University, Medical College & Hospital, Jaipur.

     

  • Ravi Mathur

    PARTICULARS OF DR. RAVI KUMAR MATHUR

     

    Name                         DR.RAVI KUMAR MATHUR

    Father’s Name            Mr.KRISHAN SWARUP MATHUR

    Date of Birth              24th May 1955

    Sex                              Male

    Permanent Address    111/402 SHIPRA PATH AGARWAL FARM, JAIPUR-302020

    RAJASTHAN, I N D I A

    TEL: 0141-2396294 /09413566600(M)09950996294(M)

    EMAIL: [email protected]

     

    ACADEMIC EXPEIRIENCES

    1. Certificate course in LAPAROSOPIC   SURGERY: NOV.1997 - FMC New Delhi

    2…M.S (General Surgery): March 1982, I Attempt - S.M.S.Medical College/Rajasthan University

    3. Final MBBS                       : July 1977         -do-                            -do-

    4. Second MBBS                    : Oct 1975         -do-                             -do-

    5. First MBBS                        : March 1974     -do-                             -do-

    6. TDC Ist Year                      : July 1972    Hons.Physics                Maharaja’ College

    7. Higher Secondary               : March 1971 Hons.Biology/Chemistry     Rajasthan

    8. Secondary School               : March 1970 Hons.Biology                 Secondary Board

     

    PROFESSIONAL EXPERIENCES

    1. Rotatory Housemanship                        S.M.S Medical College, Jaipur.       1 Year

    2. Resident House Officer (Gen.Surg.)                   -do-                                    7 Months

    3. RHO (Orthopaedics)                                           -do-                                    2 Months

    4. RHO (Neuro Surg.)                                             -do-                                    2 Months

    5. RHO (Pediatric Surg.)                                        -do-                                     2 Months

    6. Resident Registrar (Gen.Surg./Oncology)          -do-                            1 Year&3Months

    7. Resident Senior Registrar (-do-)                         -do-                            1 year&3Months

     

    PROFESSIONAL EXPERIENCES

    1. Civil Assistant Surgeon Medical Health Deptt.Govt.of Rajasthan India

    2.Assistant Prof.Surgery & Consultant Surgeon-Shahid Rasi Hospital, Medical      University of Orumieh,West Azar Baijan,Iran..

    3. Consultant Surgeon-Rungta Hospital, Jaipur.

     

    TEACHING EXPERIENCES

    1. Assistant Prof. Surgery-Medical University Orumieh, West Azar Baijan, Iran.

    From 13th Sept.’84 to 3rd April’96(11Years&6Monts)

    2. Assistant  Prof. Surgery-NIMS Medical College & Hospital, Jaipur. From 6th Feb.2001 to 16th Feb. 2009.

    3. Associate Professor Surgery-NIMS Medical College and Hospital, Jaipur from 17th Feb 2009 to 16th Feb.2013

    4. Professor & Unit Head – General & Laparoscopic Surgery, NIMS University Medical College, Jaipur from 17th Feb.2013 till date.

     

    .

    PROFESSIONAL ACTIVITIES

    1. Epidemiological & Clinico-pathological study of Oral Cancer & Regional Lymph Nodes.

    2. Immediate Post Operative Adjuvant Chemotherapy in Early Breast Cancer.

    3. Clinical Presentation & Management of Male Breast Cancer.

    4. Medical Management of Advanced Breast Cancer.

    5. Post Operative Complications following Radical Neck Dissection.

    6. Chemotherapy in Head & Neck Cancers

    7. Epedemiology of Oral Cancers-Asian Cancer Conference 1984, New Delhi.

    8. DNB Coordinator, National Board of Examination, New Delhi.

    9. DNB Counselor, National Board of Examination, New Delhi.

    10. External and internal examiner – for MBBS and BDS examinations.

    11.DNB Postgraduate Examiner.

    MEMBERSHIP OF PROFESSIONAL SOCIETIES/ASSOCIATIONS

    1. Life member of Association of Surgeon of India (ASICON)

    2. Life member of ASIRAJ

    3. Life member of Friends Medical Centre, New Delhi

    4. Member of Rajasthan Medical Council.

    5. Life member of Indian Association of Gastrointestinal Endo-Surgeons

    (IAGES)

     

    REFERENCES

    1. Dr. P.K.Wanchoo.MS.FICS.FACS.Ex.Senior Prof.  &Head Deptt.of Surgery

    S.M.S. Medical College & Hospital Jaipur, India.

    2. Dr. Amit Modwal MS Prof. of ENT, NIMS Medical College, Jaipur.

    3. Dr. Mohd.Ali Nahali.Director & Chief. Medical& Health Organisation.Shahindeg, West Azar Baijan, Iran.

    4. Dr. B.S.Tomar Chairman and Chancellor, NIMS University & Prof. & Head.Deptt.of  Paediatrics Gastroenterology. NIMS University, Medical College & Hospital, Jaipur.

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Published

2017-09-27

Issue

Vol. 6 No. 2 (2017)

Section

Case Study

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