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Yashoda Hospitals » Surgery Care » Percutaneous Transhepatic Biliary Drainage ptbd

Percutaneous Transhepatic Biliary Drainage (PTBD) in Hyderabad

Receive expert care for PTBD Procedure at Yashoda Hospitals in Hyderabad.

  • Experienced Interventional Radiologists
  • Minimally Invasive Surgical Technique
  • Advanced Imaging Technology
  • Comprehensive Post-Procedure Care
  • Highly Successful Surgical Procedures

Why Choose Yashoda Hospitals for PTBD?

  • Leading Radiology Centre: Yashoda Hospitals is renowned for its top-notch interventional radiology services, making it the preferred choice and one of the best hospitals for PTBD surgery in Hyderabad.
  • Expert Surgical Team: Our team of highly experienced interventional radiologists specialises in PTBD procedures, ensuring the best possible outcomes for our patients.
  • Cutting-edge Facilities: We utilise state-of-the-art technology and advanced medical equipment to perform precise and effective PTBD procedures.
  • Dedicated Patient Care: From initial consultation to post-procedure follow-up, our dedicated team offers comprehensive and personalised care every step of the way.
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What is PTBD Procedure?

Percutaneous Transhepatic Biliary Drainage (PTBD) is a minimally invasive procedure in which a thin tube called a catheter is inserted through a skin puncture into the liver to allow drainage of bile. The most common reason for having a PTBD is blockage of the drainage of the bile due to narrowing of the bile duct. This blockage can affect the liver function and cause jaundice (yellowing of the skin and eyes).

PTBD Procedure Steps: Pre-Op & Post-Op Care

Preparation for PTBD 

Before the PTBD procedure, a series of tests, such as blood tests are done to check for blood clotting disorder. If the patient is under blood thinners, they may have to be stopped for 3-5 days prior to the surgery. In general, fasting 4-6 hours prior to the procedure is recommended.

During PTBD Procedure

Local anaesthesia with sedation is the choice of anaesthesia for this procedure. The local anaesthesia  is injected into the surrounding area where the catheter will be inserted. A fine needle is then inserted under ultrasound and fluoroscopic (realtime) X-ray imaging) guidance into the bile ducts in the liver. A biliary drainage catheter is then inserted over this wire to extend from the duodenum up through the bile ducts and liver and out to the skin. This will then be secured to the skin at the puncture site and connected to a drainage bag to collect the bile, which drains out of the liver through this catheter.

Post-Procedure Care

After a brief period of monitoring in the recovery area, depending on the reason for its insertion, the drainage catheter may differ in the period that it remains.
Complete instructions about the wound and incision site care will be provided for quick recovery.

 

Procedure Name Percutaneous Transhepatic Biliary Drainage
Type of Surgery Minimally Invasive
Type of Anesthesia Local Anesthesia with Sedation
Procedure Duration 1-2 hours
Recovery Duration Initial recovery: Approx 1 week
Full Recovery: Few weeks

Benefits of PTBD Procedure

  • Minimally invasive procedure.
  • No general anaesthesia required.
  • The catheter will relieve the obstruction to the flow of bile from the liver to the small intestine. In doing so, infection and pain from the obstruction will be relieved and liver function will be preserved.
  • Often, surgery or endoscopic relief of the obstruction is not possible and a PTBD is the only means of relieving the obstruction.
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Frequently Asked Questions

PTBD is not a permanent procedure; the drain can be temporary or long-term, depending on the underlying condition and treatment plan.

The procedure is usually performed under local anaesthesia with sedation; this helps in minimising the pain and discomfort during the insertion of the needle and catheter. Discomfort post-procedure can be managed by pain relief medication.

PTBD procedure is usually done in conditions where there is blockage of bile. Effective bile drainage provides symptomatic relief from jaundice. The procedure is minimally invasive compared to traditional surgery and also aids in diagnosing the cause of bile duct obstructions like stones and tumours.

The drain pipe can be left in place depending upon the patient’s condition and response to treatment. Generally, the drain is left in place from a few days to several months, depending on the underlying condition and the patient’s response to treatment.

PTC (Percutaneous Transhepatic Cholangiography) involves imaging the bile ducts, while PTBD (Percutaneous Transhepatic Biliary Drainage) involves placing a drain in the bile ducts. PTBD is used to relieve bile duct obstructions, while PTC is primarily diagnostic.

PTBD is typically recommended for individuals with bile duct blockages due to gallstones, tumours, strictures, infections like cholangitis, or cancer-related blockages. It can also be used to prepare patients for major bile duct surgery and to treat benign bile duct strictures.