Objective: To describe our experience of percutaneous drainage of intra-abdominal abscesses with large-bore catheters under computed tomographic control.
Design: Retrospective study.
Setting: Teaching hospital, Greece.
Subjects: 185 Patients treated for abdominal abscesses during the period 1989-94.
Interventions: Needle aspiration (n = 27), drainage through conventional pigtail catheters (n = 22), and drainage through large-bore (8-16F) Argyle drains (n = 136).
Main Outcome Measures: Morbidity.
Results: The overall success rate was 166/185 (92%). Of the 136 patients for whom the large-bore drains were used, 9 (7%) developed major complications (bowel fistula, n = 5; and pneumothorax and haemorrhage, n = 2 each) and 10 (7%) developed minor complications (obstruction of the tube, n = 4; dislocation of the tube, n = 3; bleeding from the wound, n = 2; and haematoma of the liver, n = 1). There were no deaths.
Conclusion: Large-bore Argyle drains are efficient and safe for the percutaneous drainage of certain types of abdominal abscesses.
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