drainage

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CT-guided percutaneous drainage of an anterior mediastinal abscess with a 16 F catheter.
In theory, percutaneous drainage converts an intra-abdominal abscess (which is a contraindication to anti-TNF therapy) into an enterocutaneous fistula (which is an indication for anti-TNF therapy).
Percutaneous drainage has been shown to reduce complications and hospital stay in comparison with open surgical drainage.
Criteria for consideration of percutaneous drainage of spinal epidural abscess include the following: 1) clear visualization of the abscess on MRI or CT scan; 2) accessibility of the abscess via location in the posterolateral epidural space; 3) radiographic suggestion of the presence of liquid purulent material within the abscess; 4) minimal or absent neurologic signs and symptoms; 5) refractory to medical therapy alone; and 6) poor surgical candidacy.
To avoid operative drainage of the abscesses, prostatic abscesses should be diagnosed and treated early; percutaneous drainage should be attempted if possible and drainage should be the last resort.
Resolution of the infection was achieved by percutaneous drainage and intravenous antibiotics.
CT-guided percutaneous drainage of intra-abdominal abscess secondary to retained appendicoliths is only successful in the short term.
Percutaneous drainage of echinococcal cysts (PAIR--puncture, aspiration, injection, reaspiration): results of a worldwide survey for assessment of its safety and efficacy.
Percutaneous drainage under radiographic guidance is usually the most appropriate treatment for large (greater than 2 cm in diameter) diverticular abscesses.
However, a series reported by Green (5) had a high failure rate for simple percutaneous drainage and antibiotic therapy, with 5 out of 6 cases requiring subsequent splenectomy.
Percutaneous drainage of subphrenic abscess: a review of 62 patients.

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