What is the role of primary percutaneous management in the treatment peritonitis and abdominal sepsis?

Updated: Jul 23, 2019
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

For primary percutaneous management of intra-abdominal abscesses, the etiology, location, and morphology of the abscess must be defined; evaluate for the presence of an ongoing enteric leak or fistula formation. With proper indications, most studies have reported success rates of greater than 80% (range 33-100%) for drainage of localized nonloculated abscesses; however, the success rates depend to some degree on the underlying pathology. In these studies, no significant differences were found between operative and primary nonoperative management with regard to the overall morbidity or length of hospital stay (mean duration of drainage 8.5 d).


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