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Abse aspirasyonu mu kapsül eksizyonu mu? Bir merkezden abse tedavi sonuçları

Mut, Melike ; Hazer, Burcu LU orcid ; Narin, Firat ; Akalan, Nejat and Özgen, Tunçalp (2009) In Turkish Neurosurgery 19(1). p.36-41
Abstract

Aim: Aspiration of the abscess cavity versus excision of capsule are still in debate for the capsulated, large, superficially located abscesses. Material and Methods: Twenty patients who had large, solitary, capsulated, and superficially located lobar abscesses were analyzed retrospectively to compare the efficiency of two different surgical approaches and their impact on postoperative antibiotic use and the length of hospital stay. Results: Nine patients underwent the capsule excision and 11 patients had the aspiration of their abscesses. There were no differences in terms of age, sex, location of abscesses, and radiographic features. There were 3 residual/recurrence in the aspiration group, who needed a second aspiration whereas; no... (More)

Aim: Aspiration of the abscess cavity versus excision of capsule are still in debate for the capsulated, large, superficially located abscesses. Material and Methods: Twenty patients who had large, solitary, capsulated, and superficially located lobar abscesses were analyzed retrospectively to compare the efficiency of two different surgical approaches and their impact on postoperative antibiotic use and the length of hospital stay. Results: Nine patients underwent the capsule excision and 11 patients had the aspiration of their abscesses. There were no differences in terms of age, sex, location of abscesses, and radiographic features. There were 3 residual/recurrence in the aspiration group, who needed a second aspiration whereas; no residual/recurrence was observed in the excision group. Postoperative utilization of antibiotics was significantly less in the excision group (Mean: 26.7 days in the excision group vs. 46.6 days in aspiration group). Length of hospital stay for the purpose of iv antibiotic administration was significantly shorter in the excision group in close correlation with iv antibiotic use. Conclusion: Our study demonstrated that excision of abscess capsule was superior to aspiration in terms of efficiency of surgical intervention and postoperative cost of the treatment in a highly selected group of brain abscesses.

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Please use this url to cite or link to this publication:
author
; ; ; and
alternative title
Aspiration or capsule excision? Analysis of treatment results for brain abscesses at single institute
publishing date
type
Contribution to journal
publication status
published
keywords
Abscess, Aspiration, Brain, Capsule excision
in
Turkish Neurosurgery
volume
19
issue
1
pages
6 pages
publisher
Turkish Neurosurgical Society
external identifiers
  • scopus:65649146433
  • pmid:19263351
ISSN
1019-5149
language
Turkish
LU publication?
no
id
45f0dfa6-c74f-4593-8c3e-f47652cea310
alternative location
https://turkishneurosurgery.org.tr/pdf/pdf_JTN_632.pdf
date added to LUP
2025-05-11 22:42:50
date last changed
2025-07-07 04:26:30
@article{45f0dfa6-c74f-4593-8c3e-f47652cea310,
  abstract     = {{<p>Aim: Aspiration of the abscess cavity versus excision of capsule are still in debate for the capsulated, large, superficially located abscesses. Material and Methods: Twenty patients who had large, solitary, capsulated, and superficially located lobar abscesses were analyzed retrospectively to compare the efficiency of two different surgical approaches and their impact on postoperative antibiotic use and the length of hospital stay. Results: Nine patients underwent the capsule excision and 11 patients had the aspiration of their abscesses. There were no differences in terms of age, sex, location of abscesses, and radiographic features. There were 3 residual/recurrence in the aspiration group, who needed a second aspiration whereas; no residual/recurrence was observed in the excision group. Postoperative utilization of antibiotics was significantly less in the excision group (Mean: 26.7 days in the excision group vs. 46.6 days in aspiration group). Length of hospital stay for the purpose of iv antibiotic administration was significantly shorter in the excision group in close correlation with iv antibiotic use. Conclusion: Our study demonstrated that excision of abscess capsule was superior to aspiration in terms of efficiency of surgical intervention and postoperative cost of the treatment in a highly selected group of brain abscesses.</p>}},
  author       = {{Mut, Melike and Hazer, Burcu and Narin, Firat and Akalan, Nejat and Özgen, Tunçalp}},
  issn         = {{1019-5149}},
  keywords     = {{Abscess; Aspiration; Brain; Capsule excision}},
  language     = {{tur}},
  number       = {{1}},
  pages        = {{36--41}},
  publisher    = {{Turkish Neurosurgical Society}},
  series       = {{Turkish Neurosurgery}},
  title        = {{Abse aspirasyonu mu kapsül eksizyonu mu? Bir merkezden abse tedavi sonuçları}},
  url          = {{https://turkishneurosurgery.org.tr/pdf/pdf_JTN_632.pdf}},
  volume       = {{19}},
  year         = {{2009}},
}