Muhkhtiar Ali, Asif Imran, Muhammad Ismail, Shahid Khan, Muhammad Ibrahim.
Comparison of effectiveness of open drainage and percutaneous needle drainage of pyogenic liver abscess.
Pak J Surg Jan ;35(2):125-31.

Objective: To compare the effectiveness of open drainage and percutaneous needle drainage of pyogenic liver abscess. Study sample: Department of Surgery, Mardan Medical Complex, Mardan Study design: Randornized Control trial. Study duration: 6 months.19th January 2017 to 19th July 2017 Material and Methods: In this study a total of 238 (119 in each group) patients were observed. Patients with PLA in group A were subjected to open surgical drainage and patients in group B was subjected to percutaneous needle drainage. Post-operatively, all patients in the both groups were kept under observations for 3 days and discharged on the 3rd post-operative day if indicated. All the patients were followed up on the 7th post-operative day to determine intervention eff ectiveness in the terms of total absences of abscess collection on ultrasound of liver, all the diagnostic and follow up radiological procedures was conducted by single experienced radiologist having minimum of 5 years of experience. Results: In this study mean age in group-A mean age was 38 years with SD+-1.67. Where as mean age mean age was 40 years with SD+-2.93 in group-B. In group A 58% patients were male and 42% patients were female. Whereas in group-B 55% patients were male and 45% patients were female. More over open Drainage technique was effective in 85% patients while Percutaneous Needle Drainage technique was effective in 70% patients. Conclusions: Our study concludes that open drainage is more effective than percutaneous needle drainage of pyogenic liver abscess.

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