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 |
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container_title | Diseases of the colon & rectum |
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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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A ; LAVERY, I. C ; FAZIO, V. W ; OAKLEY, J. R</creator><creatorcontrib>PROCACCINO, J. A ; LAVERY, I. C ; FAZIO, V. W ; OAKLEY, J. R</creatorcontrib><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.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/BF02051071</identifier><identifier>PMID: 1914744</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>Adolescent ; Adult ; Aged ; Bacterial diseases ; Bacterial diseases of the nervous system. 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A</creatorcontrib><creatorcontrib>LAVERY, I. C</creatorcontrib><creatorcontrib>FAZIO, V. W</creatorcontrib><creatorcontrib>OAKLEY, J. R</creatorcontrib><title>Psoas abscess : difficulties encountered</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the nervous system. Bacterial myositis</subject><subject>Barium Sulfate</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colectomy - methods</subject><subject>Colectomy - standards</subject><subject>Crohn Disease - complications</subject><subject>Crohn Disease - epidemiology</subject><subject>Drainage - methods</subject><subject>Drainage - standards</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ohio - epidemiology</subject><subject>Physical Examination</subject><subject>Postoperative Complications - epidemiology</subject><subject>Psoas Abscess - diagnosis</subject><subject>Psoas Abscess - etiology</subject><subject>Psoas Abscess - surgery</subject><subject>Reoperation - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEFLw0AQhRdRaq1evAs5iIgQnclms1lvWqwKBT3oOexOdiGSJjWTHPz3RlLsaXi8j8fwCXGOcIsA-u5xBQkoBI0HYo5KQgxS5YdiDoBJLDVkx-KE-WuMI6hnYoYGU52mc3H9zq3lyDomzxzdR2UVQkVD3VeeI99QOzS973x5Ko6Crdmf7e5CfK6ePpYv8frt-XX5sI4p0dDHIVMleCCZkTPoHeUonXEKUiwRgZSlkFtSQadIDlBLneVUEuQ69y4zciGupt1t134PnvtiU42_1bVtfDtwoRNEk2A2gjcTSF3L3PlQbLtqY7ufAqH401LstYzwxW51cBtf7tHJw9hf7nrLZOvQ2YYq_sdSYxKplPwF--pnkQ</recordid><startdate>19910901</startdate><enddate>19910901</enddate><creator>PROCACCINO, J. 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Bacterial myositis</topic><topic>Barium Sulfate</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Colectomy - methods</topic><topic>Colectomy - standards</topic><topic>Crohn Disease - complications</topic><topic>Crohn Disease - epidemiology</topic><topic>Drainage - methods</topic><topic>Drainage - standards</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ohio - epidemiology</topic><topic>Physical Examination</topic><topic>Postoperative Complications - epidemiology</topic><topic>Psoas Abscess - diagnosis</topic><topic>Psoas Abscess - etiology</topic><topic>Psoas Abscess - surgery</topic><topic>Reoperation - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PROCACCINO, J. A</creatorcontrib><creatorcontrib>LAVERY, I. C</creatorcontrib><creatorcontrib>FAZIO, V. W</creatorcontrib><creatorcontrib>OAKLEY, J. R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PROCACCINO, J. A</au><au>LAVERY, I. C</au><au>FAZIO, V. W</au><au>OAKLEY, J. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psoas abscess : difficulties encountered</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1991-09-01</date><risdate>1991</risdate><volume>34</volume><issue>9</issue><spage>784</spage><epage>789</epage><pages>784-789</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>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.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>1914744</pmid><doi>10.1007/BF02051071</doi><tpages>6</tpages></addata></record> |
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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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