Name of the Procedure:

Hepatotomy for Open Drainage of Abscess or Cyst (1 or 2 Stages)

• Common Name: Liver Abscess Drainage
• Technical Term: Hepatotomy

Summary

A hepatotomy is a surgical procedure in which an incision is made into the liver to drain abscesses or cysts. It can be performed in one or two stages depending on the complexity of the abscess or cyst.

Purpose

The procedure addresses liver abscesses or cysts that may cause pain, infection, or other health problems. The goal is to remove the harmful material and promote healing.

Indications

• Presence of liver abscess or cyst detected through imaging
• Severe abdominal pain
• Fever or signs of infection
• Unresponsiveness to antibiotics or other nonsurgical treatments

Preparation

• Fasting for at least 8 hours before the procedure
• Adjustments or discontinuation of certain medications, as advised
• Blood tests, imaging studies (ultrasound, CT scan), and physical examination

Procedure Description

1. The patient is given general anesthesia.
2. An incision is made in the abdomen to access the liver.
3. The surgeon carefully locates the abscess or cyst.
4. Drainage of the abscess/cyst is performed; in some cases, a drain is left in place.
5. The incision is closed in layers.
6. In a two-stage procedure, a second surgery may involve removing the drain or addressing any remaining infection.

Tools and Equipment:

• Scalpel
• Surgical drains
• Suction devices
• Imaging guidance tools (if needed)

Duration

Typically, the procedure lasts 1 to 3 hours.

Setting

The procedure is performed in a hospital's surgical suite.

Personnel

• Surgeons
• Anesthesiologists
• Surgical Nurses
• Operating Room Technicians

Risks and Complications

• Infection
• Bleeding
• Liver damage
• Anesthesia-related complications
• Recurrence of abscess or cyst

Benefits

• Relief from pain and infection
• Prevention of more serious complications like sepsis
• Improved liver function

Recovery

• Initial hospital stay for monitoring (1-2 days)
• Pain management with prescribed medications
• Instructions on wound care
• Avoid heavy lifting and strenuous activities for several weeks
• Follow-up appointments for monitoring healing

Alternatives

• Antibiotic therapy (for smaller abscesses)
• Percutaneous drainage (less invasive)
• Observation with regular follow-ups

Patient Experience

During the Procedure:

• The patient will be under general anesthesia and will not feel pain.

After the Procedure:

• Expect some discomfort and soreness at the incision site.
• Pain can be managed with medication.
• Some temporary restrictions on physical activity will be necessary as advised by the healthcare team.