Psoas abscess : difficulties encountered

From 1961 to 1989, 67 patients underwent various surgical procedures for psoas abscess. Retrospective analysis was undertaken in an effort to determine optimal surgical therapy. Forty patients were cured with one operation. Twenty-one patients required two operations, four patients required three op...

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Veröffentlicht in:Diseases of the colon & rectum 1991-09, Vol.34 (9), p.784-789
Hauptverfasser: PROCACCINO, J. A, LAVERY, I. C, FAZIO, V. W, OAKLEY, J. R
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container_end_page 789
container_issue 9
container_start_page 784
container_title Diseases of the colon & rectum
container_volume 34
creator PROCACCINO, J. A
LAVERY, I. C
FAZIO, V. W
OAKLEY, J. R
description From 1961 to 1989, 67 patients underwent various surgical procedures for psoas abscess. Retrospective analysis was undertaken in an effort to determine optimal surgical therapy. Forty patients were cured with one operation. Twenty-one patients required two operations, four patients required three operations, and two patients required more than three operations. The reason for failure of treatment was failure to resect the diseased bowel or to drain the psoas abscess adequately. A technique to recognize and treat the abscess definitively will be illustrated. The most common etiologies were Crohn's disease in 49 patients, postoperative sepsis in eight patients, and complications of renal disease in four patients. The length of hospital stay ranged from 5 to 392 days (mean, 26 days). There were two deaths. Failure to recognize and treat psoas abscess results in considerable morbidity.
doi_str_mv 10.1007/BF02051071
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source MEDLINE; Journals@Ovid Ovid Autoload; Springer Nature - Complete Springer Journals
subjects Adolescent
Adult
Aged
Bacterial diseases
Bacterial diseases of the nervous system. Bacterial myositis
Barium Sulfate
Biological and medical sciences
Child
Child, Preschool
Colectomy - methods
Colectomy - standards
Crohn Disease - complications
Crohn Disease - epidemiology
Drainage - methods
Drainage - standards
Female
Human bacterial diseases
Humans
Infectious diseases
Length of Stay - statistics & numerical data
Male
Medical sciences
Middle Aged
Ohio - epidemiology
Physical Examination
Postoperative Complications - epidemiology
Psoas Abscess - diagnosis
Psoas Abscess - etiology
Psoas Abscess - surgery
Reoperation - statistics & numerical data
Retrospective Studies
Tomography, X-Ray Computed
title Psoas abscess : difficulties encountered
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