Image-Guided Transrectal Drainage of Pelvic Abscesses in Children.

IF 1.5 3区 医学 Q2 PEDIATRICS European Journal of Pediatric Surgery Pub Date : 2024-10-01 Epub Date: 2024-02-06 DOI:10.1055/s-0044-1779278
Jose Santiago, Murali Surnedi, Horacio M Padua, Raja Shaikh, Rush Chewning, Ahmad I Alomari, Gulraiz Chaudry
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Abstract

Objective:  To describe our technique and share our experience with image-guided transrectal drainage (TRD) of pelvic abscesses in children.

Materials and methods:  Retrospective review and analysis of indications for image-guided TRD and examination of procedural outcomes in pediatric patients with pelvic abscesses over 8 years.

Results:  A total of 69 patients (33 males and 36 females) with symptomatic pelvic abscesses underwent image-guided TRD. The median age and weight of the patients were 11.5 years (range, 3-18) and 46.8 kg (range, 15.1-118.0), respectively. The etiologies of the pelvic abscesses were perforated appendicitis (72.5%) and post-operative collections (27.5%). All patients presented with abdominal pain. Fever, emesis, and diarrhea were also common symptoms. The size of the pelvic abscesses ranged from 24.0 to 937.1 mL (median, 132.7). Technical success was achieved in 68 of 69 TRD procedures (98.6%). Clinical improvement was observed in all patients with technically successful TRD. The TRD catheter dwell time ranged from 0 to 10 days (median, 4.0). Most patients who underwent TRD for perforated appendicitis subsequently underwent elective appendectomy after the resolution of the pelvic abscess (84.0%). The median time from TRD to elective appendectomy was 2.8 months (range, 0.3-6.1). There were no procedure-related complications.

Conclusion:  Image-guided TRD is a safe and effective procedure with high technical and clinical success rates for the treatment of pelvic abscesses in children.

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图像引导下的儿童盆腔脓肿经直肠引流术
摘要描述我们在图像引导下经直肠引流(TRD)治疗儿童盆腔脓肿的技术并分享我们的经验:回顾性分析图像引导下经直肠引流术的适应症,并检查8年来盆腔脓肿儿童患者的手术结果:共有69名无症状盆腔脓肿患者(33名男性和36名女性)接受了图像引导下的TRD治疗。患者的中位年龄和体重分别为 11.5 岁(3-18 岁)和 46.8 公斤(15.1-118.0 公斤)。盆腔脓肿的病因是穿孔性阑尾炎(72.5%)和术后积液(27.5%)。所有患者均伴有腹痛。发热、呕吐和腹泻也是常见症状。盆腔脓肿的大小从 24.0 毫升到 937.1 毫升不等(中位数为 132.7 毫升)。69 例 TRD 手术中有 68 例(98.6%)取得了技术成功。所有技术成功的 TRD 患者的临床症状均有所改善。TRD导管停留时间从0天到10天不等(中位数为4.0天)。大多数因穿孔性阑尾炎接受TRD治疗的患者(84.0%)在盆腔脓肿消退后接受了择期阑尾切除术。从TRD到择期阑尾切除术的中位时间为2.8个月(0.3-6.1个月)。没有出现与手术相关的并发症:结论:图像引导 TRD 是治疗儿童盆腔脓肿的一种安全有效的手术,技术和临床成功率都很高。
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来源期刊
CiteScore
3.90
自引率
5.60%
发文量
66
审稿时长
6-12 weeks
期刊介绍: This broad-based international journal updates you on vital developments in pediatric surgery through original articles, abstracts of the literature, and meeting announcements. You will find state-of-the-art information on: abdominal and thoracic surgery neurosurgery urology gynecology oncology orthopaedics traumatology anesthesiology child pathology embryology morphology Written by surgeons, physicians, anesthesiologists, radiologists, and others involved in the surgical care of neonates, infants, and children, the EJPS is an indispensable resource for all specialists.
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