Ulus Travma Acil Cerrahi Derg. 2021; 27(5): 534-538 | DOI: 10.14744/tjtes.2020.99478

Acil serviste derin pelvik apse için hýzlý iþlem: Perkütan drenaj

Furkan Ertürk Urfalý¹, Mehmet Korkmaz¹, Sezgin Zeren², Faik Yaylak², Sermin Tok Umay^1
1Kütahya Saðlýk Bilimleri Üniversitesi, Radyoloji Anabilim Dalý, Kütahya
²Kütahya Saðlýk Bilimleri Üniversitesi, Genel Cerrahi Anabilim Dalý, Kütahya

AMAÇ: Pelvik apselerin drenajý, organ yakýnlýðý nedeniyle iyi planlanmasý gereken giriþimsel prosedürlerdir. Literatürde pelvik apse drenajýnýn tedavi yöntemlerini deðerlendiren ve baþarý oranlarýný karþýlaþtýran yeterli yayýn bulunmamaktadýr.
GEREÇ VE YÖNTEM: Bu çalýþmaya Haziran 2017 ve Aralýk 2019 tarihleri arasýnda giriþimsel radyoloji birimimizde pelvik apse drenajý yapýlan 15 hasta geriye dönük olarak alýndý. Apse büyüklüðü, apse özellikleri, apse eriþim yöntemi (transrektal, transvajinal, transgluteal) ve drenaj tedavi prosedürü (iðne aspirasyonu, kateter tedavisi) tedavinin baþarýsý üzerindeki etkiler açýsýndan istatistiksel olarak deðerlendirildi.
BULGULAR: Çalýþmaya alýnan 15 hastanýn altýsý (%40) erkek, dokuzu (%60) kadýn olup ortalama yaþlarý 31.6 yýldý. Sadece iðne aspirasyonu ile tedavi edilen hastalarýn ikisinde apse koleksiyonu tekrarladý ve ikinci iþlem yapýldý. Çalýþmamýzda teknik baþarý %100 ve tam klinik baþarý %80 idi. Hiçbir hastaya drenaj tedavisi sonrasý apse nedeniyle açýk cerrahi uygulanmadý.
TARTIÞMA: Sonuç olarak, pelvik apselerin endokaviter ve perkütan drenaj tedavileri güvenli ve etkili tedavi yöntemleridir. Ýðne aspirasyon tedavisinin baþarýsý kateter tedavisinden daha düþüktür ve apse koleksiyonunun tekrarlayabileceði göz önünde bulundurulmalýdýr.

Anahtar Kelimeler: Baþarý, drenaj; eriþim noktasý; komplikasyon; pelvik abse; perkütan; transgluteal; transrektal; transvajinal.

---

Percutaneous drainage as an rapid procedure for deep pelvic abscess in the emergency department

Furkan Ertürk Urfalý¹, Mehmet Korkmaz¹, Sezgin Zeren², Faik Yaylak², Sermin Tok Umay^1
1Department of Radiology, Kütahya University of Health Sciences, Kütahya-Turkey
²Department of General Surgery, Kütahya University of Health Sciences, Kütahya-Turkey

BACKGROUND: Drainage of pelvic abscesses is interventional procedures that should be well planned due to organ contiguity. There are not enough publications in the literature evaluating the treatment methods of pelvic abscess drainage and comparing success rates.
METHODS: In this study, 15 patients who underwent pelvic abscess drainage in our interventional radiology unit between June 2017 and December 2019 were retrospectively included. Abscess size, abscess characteristics, the method of access to abscess (transrectal, transvaginal, transgluteal), and drainage treatment procedure (needle aspiration, catheter treatment) were evaluated statistically in terms of effects on the success of treatment.
RESULTS: Of the 15 patients included in the study, 6 (40%) were male and 9 (60%) were female, with a mean age of 31.6 years.In 2 of the patients treated with needle aspiration alone, the abscess collection was repeated and the second procedure was performed. In our study, the technical success was 100% and the complete clinical success was 80%. None of the patients underwent open surgery due to abscess after drainage treatment.
CONCLUSION: In conclusion, endocavitary and percutaneous drainage treatments of pelvic abscesses are safe and effective treatment methods. The success of needle aspiration treatment is lower than catheter treatment and it should be considered that the abscess collection may recur.

Keywords: Access point, complication; drainage; pelvic abscess; percutaneous; success; transgluteal; transrectal; transvaginal.

---

ATIF KOPYALA