Colpotomy Drainage of Pelvic Abscesses

Darling, Michael; Golan, Abraham; Rubin, A.

doi:10.3109/00016348309155803

Cited by 7 publications

(4 citation statements)

References 14 publications

(4 reference statements)

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“…This may explain why two cultures were sterile. E. coli was the pathogen encountered most frequently, as in previous publications (Rivlin and Hunt, 1977;Darling et al, 1983;Ojengbede and Otolorin, 1987;Mai and Ikhenna, 1994). As anaerobic cultures were not performed on the specimens, it is therefore not possible to comment on the role of anaerobes in these cases of pelvic abscess.…”

Section: Discussionmentioning

confidence: 86%

Microbiological pattern of the contents of pelvic abscess at the University College Hospital, Ibadan, Nigeria

Aimakhu

Olayemi

Odukogbe

2003

Journal of Obstetrics and Gynaecology

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A retrospective analysis of 49 cases of pelvic abscess over a 10-year study period spanning 1 January 1989 to 31 December 1998 was undertaken. Forty-one patients had laparotomy to drain the pelvic abscess, while eight had colpotomy. The volume of pus drained at surgery ranged between 10 ml and 3.5 l for laparotomy, with a median value of 500 ml and 100 ml to 1 l with a median of 200 ml for colpotomy. There was no significant difference in these values. Swabs for bacteriological cultures were taken at surgery and results available in 18 patients. In two patients (11%) the cultures were sterile. In the positive cultures, Escherichia coli was isolated in seven patients. Klebsiella species and Staphylococcus aureus were isolated in four patients each. It is important to know the causative organisms for this infection in our environment because pelvic abscess is the end stage in the progression of a treatable genital tract infection and is frequently an unnecessary complication that is very expensive to treat.

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Section: Discussionmentioning

confidence: 86%

Microbiological pattern of the contents of pelvic abscess at the University College Hospital, Ibadan, Nigeria

Aimakhu

Olayemi

Odukogbe

2003

Journal of Obstetrics and Gynaecology

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“…Anaerobic bacteria were frequently detected as the causative bacteria. Darling et al 13 in their retrospective study of 155 patients with acute pelvic abscess, who were treated by colpotomy drainage, concluded that more aggressive surgical management is to be preferred and the vaginal approach gives good results. The complications and morbidity in this series were very low with mortality rates of <1%.…”

Section: Discussionmentioning

confidence: 99%

Innovative non-surgical management of pelvic and anterior vaginal wall abscess following vaginal surgery

2016

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Surgical site infections remain a common cause of morbidity following gynaecological surgery. The widespread implementation of antibiotic prophylaxis prior to surgery, as well as cognizance of modifiable risk factors for postoperative infection, has led to a significant reduction in postoperative infection rates. However, in low resource settings where sepsis and infections are common, surgical site infections following vaginal hysterectomy are sometimes encountered. It is a challenge to treat these infections with minimal intervention avoiding repeat surgery. We report here a unique situation following vaginal hysterectomy and then laparotomy; where a pelvic abscess communicated with the vesicovaginal space and drained through an opening into the anterior vaginal wall. An innovative technique was used to drain this anterior vaginal wall abscess connecting to pelvic cavity using a 40 cm long disposable urinary catheter (made of polyvinyl chloride), which was inserted into the vaginal opening under ultrasound guidance.

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“…While no direct comparison or randomized control trials exist to guide clinical decision making, available literature seems to suggest that aspiration alone has similar success rates at treating TOA vs. colpotomy or transvaginal drain placement with a lower complication rate [7,8,9,10,11,12,13]. Colpotomy for drainage of a TOA has also been associated with the onset of peritonitis and sepsis and is no longer a recommended modality for treatment of TOAs [14].…”

Section: Experience and Discussionmentioning

confidence: 99%

Simple Technique for Transvaginal Aspiration of a Tubo-Ovarian Abscess

Lachiewicz

Nair²

2016

Gynecol Obstet Invest

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Large tubo-ovarian abscesses (TOAs) usually require drainage or operative management in addition to antibiotics. All previous reports of transvaginal aspiration have been described utilizing a needle/biopsy guidance system, which may not be available to many obstetrician/gynecologists. We present a simple technique for transvaginal drainage of large TOAs using a long angiocath needle under transabdominal ultrasound guidance in a patient in whom percutaneous drainage and operative management were not ideal options. This is the first report about the use of this technique. Our patient has recovered fully and remains free of infection 10 months later. Providers should consider this technique when other modalities are not available, are of questionable benefit, or present high potential for additional complications.

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Colpotomy Drainage of Pelvic Abscesses

Cited by 7 publications

References 14 publications

Microbiological pattern of the contents of pelvic abscess at the University College Hospital, Ibadan, Nigeria

Microbiological pattern of the contents of pelvic abscess at the University College Hospital, Ibadan, Nigeria

Innovative non-surgical management of pelvic and anterior vaginal wall abscess following vaginal surgery

Simple Technique for Transvaginal Aspiration of a Tubo-Ovarian Abscess

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