Satyanarayana Gorthi
Kamineni Academy of Medical Sciences and Research Centre, India
Title: Intra-abdominal abscess an algorithm for early diagnosis and appropriate management
Biography:
Dr. SN Gorthi is renowned surgical Gastroenterologist with 38 years of experience in open as well as Laparoscopic surgery
Abstract:
Statement of the Problem:
“Intra abdominal abscess is a collection of pus in the abdomen walled off by inflamed viscera and/or omentum.” The ethology and presentation are variable and sometimes obscure resulting in delayed diagnosis inapt of the availability of advanced imaging modalities like ultra sonogram and C.T. scan which in turn leads to delay in initiating appropriate treatment. This is the root cause of high morbidity and mortality.
The purpose of this study is to develop an algorithm aimed at improving the chance of early diagnosis and thus enable the emergency physicians and surgeons to initiate appropriate treatment at the earliest.
Methodology & Theoretical Orientation:
A retrospective analysis of records of 30 patients treated at our institute from 2014 to 2016 is carried out at Kamineni Academy of Medical Sciences and Research Centre. The clinical findings and Laboratory data were analysed to identify the risk factors that allow the doctors on duty to suspect the possibility of Intra abdominal abscess and an algorithm is developed to guide them to choose the appropriate imaging modality/modalities for establishing the diagnosis as well as to decide the most appropriate treatment method in the given circumstances.
Conclusions and Significance:
At the end of the study it was concluded that the algorithm is useful for guiding the junior doctors to identify and manage the patients at high risk of harbouring intra abdominal abscess in a cost effective manner.