@article{Habibullah_Das_Paul_2019, title={USG-Guided Percutaneous Aspiration: an Effective Way for Managing Appendicular Abscess}, volume={9}, url={https://www.banglajol.info/index.php/JEMC/article/view/39905}, DOI={10.3329/jemc.v9i1.39905}, abstractNote={<p><strong>Background</strong>: During last 2−3 decades image-guided drainage procedures have been developed complementing modern surgical drainage techniques. The development of interventional radiological procedure has made percutaneous puncture and drainage of abdominal fluid collection possible. Image-guided percutaneous drainage of appendicular abscess has become well-established because of its proven safety and efficacy.</p> <p><strong>Objectives</strong>: To evaluate the safety and feasibility of USG-guided percutaneous aspiration for draining appendicular abscess with special attention to the need for conversion and to see the nature of complications after draining of abscess.</p> <p><strong>Materials and Methods</strong>: Between May 2013 to May 2014, 25 cases of appendicular abscess were selected from the admitted patients (surgery department) in Enam Medical College & Hospital who underwent USG-guided percutaneous aspiration. Procedure was performed mostly under local anaesthesia. Patients were followed up for 6 months. Interval appendicectomy was not performed routinely.</p> <p><strong>Results</strong>: USG-guided aspiration was successful in 23 (92%) patients and in 2 (8%) patients procedure failed. Single attempt was successful in 21 (84%) cases and 4 (16%) patients needed double attempt for draining appendicular abscess. In 23 (92%) patients, PCA was done under local anaesthesia and two (8%) patients needed general anaesthesia. Complications developed in 4 (16%) patients. Four (16%) patients needed follow-up USG. Average hospital stay was 5 days (2−8 days) and average duration of using I/V antibiotic was 3.5 days (2−5 days).</p> <p><strong>Conclusion</strong>: USG-guided percutaneous aspiration is an easy and safe method for draining appendicular abscess with minimum procedural complications.</p> <p>J Enam Med Col 2019; 9(1): 41-45</p>}, number={1}, journal={Journal of Enam Medical College}, author={Habibullah, Tarafder and Das, Debasish and Paul, Deb Prasad}, year={2019}, month={Jan.}, pages={41–45} }