ROLE OF OPEN SURGICAL DRAINAGE OR ASPIRATION IN MANAGEMENT OF AMOEBIC LIVER ABSCESS

Background: Since Hippocrates time, liver abscesses have been recognised. Apart from postoperative care, advancements in diagnostic and therapeutic methods have greatly lowered the high mortality rate. The present study aimed to establish the role of open surgical drainage or aspiration in management of amoebic liver abscess.

Methodology: The present prospective observational study involved 30 patients aged over 18 years of both sexes who were hospitalised to the department of general surgery with symptoms consistent with liver abscess and were confirmed with amoebic liver abscess. Following enrollment, a complete clinico-medical and admission history, as well as a thorough physical examination, were obtained. Routine serological testing in addition to abdominal and pelvic ultrasonography are performed. Additional CECT abdominal procedures were conducted.

Results: Out of 30 enrolled patients, 70.00% were male, and 30.00% were female. Out of the 30 cases in this study, 5 patients who had percutaneous aspiration had many minor abscesses, and one patient with a solitary abscess required open surgery due to recurring liver abscess. Under antibiotic coverage, the majority of patients required USG-guided percutaneous aspiration or pigtail catheter drainage.

Conclusion: Surgical drainage or aspiration are both equally effective in treating patients with amoebic liver abscesses.