الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work To compare the different modalities in treating liver abscesses as regard the effectiveness, morbidity, mortality and rate of failure. Also, the different etiopathogenic aspects in patients with liver abscesses. Summary and conclusion The findings of this study suggest that medical treatment alone attempt in patients with abscesses lesser than 2cm. while sonographic guided percutaneous aspiration in combination with systemic antibiotics consider suitable, easy, cheap, reproducible method used for cure abscesses larger than 2cm. or multiloculated abscesses, also suitable as palliative treatment for patients with huge abscesses or these associated with cholecystitis to improve their general conditions, alleviate pain, decrease temperature and make the patients fit for operative interference. The minimal access surgical dranaige of liver abscesses laparoscopically in combination with systemic antibiotics is a safe and valuable alternative in all patients who require open drainage following medical or precutaneous treatment or when large abscesses are present especially when associated with cholycystitis, but open surgical drainage must remain as a last resort. |