[Tubo-ovarian abscesses treatment: Faisability and results of trans-vaginal ultrasound-guided aspiration]

J Gynecol Obstet Biol Reprod (Paris). 2016 Mar;45(3):243-8. doi: 10.1016/j.jgyn.2015.04.016. Epub 2015 Jun 19.
[Article in French]

Abstract

Objective: Two years after the French guidelines, the objective was to assess the feasibility and efficiency of ultrasound-guided trans-vaginal drainage of tubo-ovarian abscesses (TOA) and to study the responsible germs.

Material and methods: All the patients with a larger abscess than 20mm were included prospectively from May 2011 to July 2014 in the university hospital of Lille.

Results: Sixty-nine drainages were performed among 50 patients. Success rate was 94%. No complication occurred. One germ was found in 55% of patients, the TOA was polymicrobian in 20% of cases.

Conclusion: Ultrasound-guided trans-vaginal drainage of TOA is safe and effective with more than 90% of success rate.

Keywords: Abcès tubo-ovariens; Fertility; Ponction écho-guidée; Tubo-ovarian abscess; Ultrasound-guided drainage.

Publication types

  • Clinical Trial

MeSH terms

  • Abscess / epidemiology
  • Abscess / microbiology
  • Abscess / therapy*
  • Adolescent
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Drainage / adverse effects
  • Drainage / methods*
  • Fallopian Tube Diseases / epidemiology
  • Fallopian Tube Diseases / microbiology
  • Fallopian Tube Diseases / therapy*
  • Feasibility Studies
  • Female
  • Humans
  • Middle Aged
  • Ovarian Diseases / epidemiology
  • Ovarian Diseases / microbiology
  • Ovarian Diseases / therapy*
  • Postoperative Complications / epidemiology
  • Treatment Outcome
  • Ultrasonography, Interventional / adverse effects
  • Ultrasonography, Interventional / methods*
  • Vagina / diagnostic imaging
  • Vagina / microbiology
  • Young Adult

Substances

  • Anti-Bacterial Agents