Understanding Health Care Delivery System in India

Introduction: Liver is a vital organ of the body, anatomically situated mostly in right hypochondrium wit small extension into left hypochondrium also. Liver is the organ subjected to systemic infections by various microorganisms. Pyogenic and amebic liver abscess are the two common types of hepatic abscess. Pyogenic liver abscess are less common than amebic liver abscess. Right lobe of the liver is most commonly involved in both types of abscesses. Radio-imaging techniques like US and CT are the modalities of choice for investigation purposes. Treatment modalities of these abscesses, fi rst emphasizes on medical treatment, but if it is unsuccessful then only the surgical intervention should be taken up. Aims & Objectives: The aim of this study is to use that modality of treatment for hepatic abscesses which are successful, economical and reduces the hospital stay of patients. Methods: 62 patients belonging to different socio-economic status, age range from (18-70 yrs) were included in this study. All routine investigations like haemogram, culture/sensitivity, pathological tests were done. Later on diagnosis was confi rmed by US and CT scan. Patients were treated keeping them under treatment of three groups (vide infra). Results: Based on the size of cyst and type of abscess different modalities of treatment were applied. Hospital stay of patients varied from single day to three to four days or even more for 10 days in which laprotomy was tried for management. Conclusion: We concluded the study with the fact, that draining the abscess under US guidance is the best minimal invasive method of treatment, which on one hand is economical to patients and also reduces the hospital stay, so that proper medical care to other admitted patients is imparted.