RESULTS OF PERCUTANEOUS TREATMENT OF LIMITED FLUID FORMATIONS AFTER ABDOMINAL SURGERY.

The purpose of the study: Evaluation of the results of percutaneous drainage in the treatment of visceral and non-visceral fluid formations that developed in the abdominal cavity in the postoperative period.

Material and methods: The study involved 64 patients who underwent percutaneous drainage under ultrasound control, and 30 patients who underwent open surgical drainage. The clinical variables were analyzed along with the results of the interventions.

Results: The average hospital stay of patients who underwent open surgical drainage (11.10±3.42 days) was longer than that of patients who underwent percutaneous drainage (9.13±1.63 days). The average time of temperature decrease during percutaneous drainage was 4.31±1.75 days, and with open surgical drainage -4.94±2.01 days. Percutaneous drainage was successful in 96.8% of patients, and an unsuccessful result was observed in 3.2% of patients. In patients who underwent open surgical drainage, these rates were 80% and 20%, respectively. Compared with percutaneous drainage, complications were more frequent in patients who underwent open surgical drainage and amounted to 12.4% and 16.7%, respectively.

Conclusion: Percutaneous drainage under ultrasound control has a lower mortality rate compared to open surgical drainage, as well as reduces hospital stay and in most cases can replace drainage with traditional open or laparoscopic intervention.