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- Title
Utilizing Video-Assisted Retroperitoneal Debridement for Retroperitoneal Abscess Following Penetrating Trauma.
- Authors
McCluskey, Brian B.; Nonnemacher, Cory J.; Ashley, Dennis W.; Ponce, Rafael T.
- Abstract
Retroperitoneal abscess as a sequela of penetrating trauma can pose a difficult clinical scenario for surgeons and literature to inform decision making is sparse. It is logical to follow a "step-up" approach applied to other etiologies of infected retroperitoneal fluid collections, such as infected pancreatic necrosis and perinephric abscess. Video-assisted retroperitoneal debridement (VARD) is a well-established approach in infected pancreatic necrosis when surgical debridement is warranted. Minimally invasive retroperitoneal approaches have emerged in a broadening range of etiologies and specialties. We describe our experience utilizing VARDs in two patients that developed retroperitoneal abscesses following gunshot injuries to bowel and proximal urinary system. Both failed a conservative approach including antibiotic and percutaneous drains. Rapid improvement and subsequent discharge were observed within days of VARD procedure. We believe VARD to be a viable approach to post-trauma retroperitoneal abscesses when surgical drainage is indicated, and anatomy is favorable.
- Subjects
PENETRATING wounds; DEBRIDEMENT; ABSCESSES; SURGICAL drainage; DECISION making
- Publication
American Surgeon, 2024, Vol 90, Issue 6, p1797
- ISSN
0003-1348
- Publication type
Case Study
- DOI
10.1177/00031348241241651