Free-hand technique with ordinary antisepsis in abdominal US-guided fine-needle punctures: three-year experience

Radiology. 1996 Jun;199(3):721-3. doi: 10.1148/radiology.199.3.8637995.


Purpose: To evaluate the adequacy of ordinary antisepsis in ultrasound (US)-guided free-hand fine-needle puncture.

Materials and methods: Diagnostic and therapeutic procedures (n = 573) were performed in 456 patients. No puncture attachments, sterile gloves, or drapes or covers were used. Before each procedure the transducer was cleaned with a solution of water and 70% alcohol. No needles were contaminated. Patients were monitored for 5 days to exclude sepsis. Subsequently, the patients underwent follow-up blood and laboratory testing, including testing for for hepatitis B and C markers and human immunodeficiency virus antibodies, every 3 months for 6 months. The operators underwent the same follow-up for the first 6 months and for an additional 6 months.

Results: No patient or operator presented with fever or sepsis or with negative viral or hepatitis markers that became positive during follow-up.

Conclusion: Use of this free-hand US-guided technique with ordinary antisepsis is safe for patients and operators, and it allows savings in time and the cost of materials.

MeSH terms

  • Abdomen / diagnostic imaging*
  • Abdomen / pathology*
  • Adult
  • Aged
  • Aged, 80 and over
  • Antisepsis / methods*
  • Biopsy, Needle / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Time Factors
  • Transducers
  • Ultrasonography / instrumentation
  • Ultrasonography / methods