Appendicitis, Diverticulitis, Pancreatitis, Surgery
Conditions
Keywords
Infected, Intra-abdominal, Collection, Drainage, Percutaneous
Brief summary
The Percutaneous drainage of symptomatic intra-abdominal collection (primary or secondary to surgery)is the treatment of choice in the absence of peritonitis signs. In critically ill patients, this procedure allows to avoid or postpone surgery. In these settings, the percutaneous drain can be either in Active Vacuum Pressure or in Free drainage. However, no prospective trials has assessed the efficiency of these two modalities of drainage in cases of infected intra-abdominal collections. The investigators aimed then to prospectively analyzed the efficiency (in term of infectious control) of drainage under active vacuum pressure vs. free drainage for the treatment of infected intra-abdominal collections.
Interventions
PROCEDUREPercutaneous drainage of intra-abdominal collection
Percutaneous drainage of infected intra-abdominal collection Under computed tomography or ultrasound guidance. Procedures perform by a board certified interventional radiologist
Sponsors
Centre Hospitalier Universitaire Vaudois
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Infected intra-abdominal collection requiring a percutaneous drainage after surgery or due to a primary intra-abdominal infectious disease (e.g. diverticulitis, appendicitis) * age over 18 years old * intra-abdominal collections \>5 cm in diameter with signs of infections on imaging
Exclusion criteria
* pregnancy * age\< 18 years * signs of peritonitis * Intensive care unit patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time of drainage | 90 days after drianage |
Secondary
| Measure | Time frame |
|---|---|
| Hospital stay | up to 90 days after drainage |
| Morbidity related to the procedure | up to 90 days after drainage |
| in-hospital mortality | up to 90 days after the drainage |
| Control of infection | up to 7 days after drainage |
| Timing of antibiotherapy | up to 15 days after drainage |
Countries
Switzerland
Contacts
Primary ContactNicolas Demartines, M.D.
Backup ContactEmmanuel Melloul, M.D.
Outcome results
None listed