PMID: 15216690Jun 26, 2004Paper

Treatment strategy for renal abscesses

Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
M PeslJ Dvorácek

Abstract

A retrospective assessment of treatment results in a group of patients treated for renal abscesses by our work team during the last five years. The aim is to determine the most suitable therapeutical approach for each abscess group, depending on their size. There were 13 patients in the group (10 of them were women and 3 of them were men, aged 36, on average). The ultrasound examination of the kidneys was conducted using the 5 MHz appliance. In cases when antibiotics were prescribed, they were prescribed in combination, most often ampicillin and gentamicin. The evacuation percutaneous punction of the abscess cavity was carried out using a standard technique under the sonographic control. The kidney was approached via lumbotomy during the nephrectomy procedure. The hospitalization lasted for 19 days on average (5-72 days). The right and left kidney involvement ratio was 5:8. In four cases we chose a conservative approach, in all cases, the patients concerned were treated during the previous three years. The abscess cavity measured 2.75 cm on average, in the above patients cases. Eight patients underwent a percutaneous punction of the abscess cavity. The average size of the renal abscess was 5.5 cm in this patient group. One pati...Continue Reading

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