Najmuddin Shabbir, Misbah Nizami, Zahid Ali Memon, Riazuddin Khanzada.
Different modalities for the treatment of liver abscess.
Pak J Surg Jan ;25(1):22-4.

Objective: To evaluate the treatment of liver abscess. Study Design: Quasi experimental. Setting & Duration: Liaquat National Hospital, Liaquat College of Medicine and Dentistry, Darul Sehat Hospital, SESSI Landhi Hospital, Karachi from January 2007 to June 2007. Methodology: All patients with liver abscess were included in this study and were exposed to four different treatment modalities. The patients were first treated with combination of medicine (option a). If they failed to respond to this treatment then they were subjected to ultrasound guided aspiration (option b). If option b failed they were exposed to pig tail catheter placement (option c). Final option was surgical drainage (option d). Result: Out of 51 patients, 20(39.2%) patients responded to drug therapy alone. Twenty two patients required ultrasound guided aspiration and 9 patients required Pig tail Catheter placement and 6 patients required open surgical drainage. A combination of drug therapy and ultrasound guided needle aspiration was effective for majority of 83% patients. Conclusion: Majority of patients with unruptured liver abscess can be managed without conventional surgery.

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