Study of Minimal Invasive Surgical Procedure of Liver Abscesses in Western Uttar Pradesh - A Hospital Based Study

Introduction: Liver is a vital organ of the body, anatomically situated mostly in right hypochondrium wit small extension into left hypochondrium also. Liver is the organ subjected to systemic infections by various microorganisms. Pyogenic and amebic liver abscess are the two common types of hepatic abscess. Pyogenic liver abscess are less common than amebic liver abscess. Right lobe of the liver is most commonly involved in both types of abscesses. Radio-imaging techniques like US and CT are the modalities of choice for investigation purposes. Treatment modalities of these abscesses, fi rst emphasizes on medical treatment, but if it is unsuccessful then only the surgical intervention should be taken up. Aims & Objectives: The aim of this study is to use that modality of treatment for hepatic abscesses which are successful, economical and reduces the hospital stay of patients. Methods: 62 patients belonging to different socio-economic status, age range from (18-70 yrs) were included in this study. All routine investigations like haemogram, culture/sensitivity, pathological tests were done. Later on diagnosis was confi rmed by US and CT scan. Patients were treated keeping them under treatment of three groups (vide infra). Results: Based on the size of cyst and type of abscess different modalities of treatment were applied. Hospital stay of patients varied from single day to three to four days or even more for 10 days in which laprotomy was tried for management.

[1]  H. Parkash,et al.  Adenomatoid odontogenic tumour: review and case report. , 2005, Journal.

[2]  H. Pitt Surgical management of hepatic abscesses , 1990, World Journal of Surgery.

[3]  J. Kurland,et al.  Pyogenic and amebic liver abscesses , 2004, Current gastroenterology reports.

[4]  I. Beckingham,et al.  ABC of diseases of liver, pancreas, and biliary system. , 2001, BMJ.

[5]  S. Saini Imaging of the hepatobiliary tract. , 1997, The New England journal of medicine.

[6]  T. Bacchella,et al.  Pyogenic liver abscess: the role of surgical treatment. , 1997, International surgery.

[7]  P. Allan,et al.  Changing management of pyogenic liver abscess , 1996, The British journal of surgery.

[8]  K. Lillemoe,et al.  Pyogenic hepatic abscess. Changing trends over 42 years. , 1996, Annals of surgery.

[9]  K. Chu,et al.  Pyogenic liver abscess. An audit of experience over the past decade. , 1996, Archives of surgery.

[10]  K. Wong Percutaneous drainage of pyogenic liver abscesses , 1990, World journal of surgery.

[11]  P. Sheedy,et al.  Treatment of pyogenic hepatic abscesses. Surgical vs percutaneous drainage. , 1986, Archives of surgery.

[12]  A. Robbins,et al.  Intrahepatic pyogenic abscesses: treatment by percutaneous drainage. , 1985, American journal of surgery.

[13]  A. Mcfadzean,et al.  Solitary pyogenic abscess of the liver treated by closed aspiration and antibiotics: A report of 14 consecutive cases with recovery , 1953, The British journal of surgery.

[14]  M. Debakey,et al.  Pyogenic abscess of the liver , 1938 .

[15]  Henry H. Smith Hepatic Abscess , 1893, The Indian medical gazette.