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KMID : 1103720100620040343
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Journal of the Korean Society of Radiology
2010 Volume.62 No. 4 p.343 ~ p.349
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Percutaneous Drainage of Postoperative Pelvic Abscess: Fluoroscopic and US-Guided Transgluteal Approach
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Lim Hyo-Jin
Hong Hyun-Pyo
Lee Hyung-Geun
Choi Yoon-Jung
Lee Young-Rae
Lee Ji-Young
Park Hae-Won
Kim Sam-Soo
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Abstract
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Purpose: To retrospectively review the effectiveness and safety of fluoroscopic and US-guided percutaneous transgluteal drainage of postoperative pelvic abscesses.
Materials and Methods: From January 2002 to December 2007, 594 patients underwent surgery at our institution due to rectosigmoid cancer. A retrospective analysis revealed that percutaneous drainage of a postoperative pelvic abscess was performed in 19 out of the 594 patients (3.19%) that underwent surgery (13 male, 6 female; mean age, 57.9 years; age range, 40-82 years). The transgluteal and other methods were used for percutaneous drainage and the success rate, duration of therapy, and complication rate were evaluated.
Results: The transgluteal approach was performed with fluoroscopic and US-guidance in 10 patients (52.6%). A catheter was inserted through a preexisting surgical drain in 5 patients (26.3%). The transabdominal approach was performed under US-guidance in 4 patients (21.0%). Technical success was achieved in all patients. The catheter was removed after a mean of 14 days. In 2 patients, who were treated by the transgluteal apporoach, subsequent surgery was performed due to incomplete resolution of the abscess (10.5%). The mean duration of catheter drainage using the transgluteal approach (16.5 days) was longer than other methods (11.2 days). Furthermore, no procedure-related major complications or mortality was observed in all methods.
Conclusion: The percutaneous transgluteal approach to a postoperative pelvic abscess with US and fluoroscopic guidance is relatively safe and effective.
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KEYWORD
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Absecss, Pelvis, Drainage, Radiology, Interventional
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