Endovaginal sonography for guidance in draining pelvic fluid collections.

Abbitt, Patricia L.; Goldwag, S; Urbanski, Stefan J.

doi:10.2214/ajr.154.4.2107687

Cited by 25 publications

(13 citation statements)

References 2 publications

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“…The indications for transvaginal drainage of pelvic fluid collections include both gynecologic and non-gynecologic conditions, such as simple or complex tubo-ovarian abscesses, postoperative abscesses and diverticular abscesses. In the literature, success rates close to 100% using a US-guided transvaginal approach have been reported but all the studies enrolled small populations and lacked statistical significance [62,[72][73][74][75][76][77]. More recently, Rose et al [78] studied a larger population (n=46) and reported that 3D reconstruction during the US-guided approach can add substantial information on structure and spatial resolution to optimize the initial drainage of complex fluid collections.…”

mentioning

confidence: 99%

Computed tomography-guided percutaneous abscess drainage in coloproctology: review of the literature

Golfieri

Cappelli

2007

Tech Coloproctol

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mentioning

confidence: 99%

Computed tomography-guided percutaneous abscess drainage in coloproctology: review of the literature

Golfieri

Cappelli

2007

Tech Coloproctol

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“…The drawback of the transgluteal route includes significant discomfort in walking, pain intolerance requiring analgesis, and sciatic nerve and other major neural element injury, which may be prevented by inserting the catheter as close as possible to the sacrum [7,25]. Transrectal [8,9] and transvaginal [10,11] routes allow a relatively painless approach for access to these abscesses. The transrectal approach is the most direct route to pelvic abscesses and provides a convenient exit pathway for the catheter.…”

Section: Discussionmentioning

confidence: 99%

CT-Guided Percutaneous Drainage of Tuberculous and Non-Tuberculous Deep Pelvic Abscesses

Sheikh¹,

Al-Ali²,

Al-Sumait

et al. 2000

Med Princ Pract

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Objective: To assess the utility of comput- ed tomography (CT)-guided percutaneous drainage in the management of tuberculous and non-tuberculous deep pelvic abscesses. Material and Methods: Twelve patients with deep pelvic abscesses were drained under CT guidance. Nine patients were drained with an indwelling catheter of size ranging from 8 to 14 F. Needle aspiration and lavage were performed in 3 patients. Results: Successful drainage was accomplished in all the patients. A single-session catheter drainage was sufficient in all the cases. In 4 out of 12 patients the abscess was of tuberculous aetiology and all were effectively managed with indwelling catheter drainage. Conclusion: CT-guided percutaneous drainage of pelvic abscesses with appropriate chemotherapy is an easy, safe and effective alternative to surgery in the treatment of tuberculous and nontuberculous pelvic abscesses.

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“…Most authors who advocate transvaginal routes of drainage use the Seldinger technique for catheter delivery, which requires a combination of US for the initial needle placement and fluoroscopy for tract dilation (27)(28)(29)(30). Placement of catheters with the Seldinger technique requires multiple steps: needle introduction, wire insertion, serial tract dilation, and catheter delivery.…”

Section: Seldinger Technique Versus Trocar Techniquementioning

confidence: 99%

Transvaginal Interventional Procedures: Aspiration, Biopsy, and Catheter Drainage

O’Neill¹,

Rafferty²,

Lee³

et al. 2001

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Transvaginal ultrasonographically (US) guided procedures are simple and safe and often represent the only means of access to pelvic disease. Aspiration of cystic pelvic masses and core biopsy of solid pelvic masses can be easily performed by using the transvaginal route, an endoluminal US transducer, and a needle guide. Because of concerns about false-negative diagnosis and potential tumor seeding with biopsy of primary ovarian cystic lesions, the indications for transvaginal aspiration and biopsy of ovarian and adnexal lesions are predominantly therapeutic. Similarly, using an endoluminal probe with modification of the guide, one can also perform safe and effective trocar catheter drainage of pelvic abscesses via the transvaginal route. The transvaginal route is ideally suited to pelvic abscess drainage because of the proximity of the vaginal fornices to most pelvic fluid collections. The transvaginal route has the disadvantage of being semisterile; because of the risk of superinfecting previously noninfected pelvic pathologic conditions, the transvaginal approach should be used only for solid lesions or cystic lesions that can be completely aspirated. Familiarity with the transvaginal route of access is crucial for adequate treatment of many gynecologic and nongynecologic pelvic pathologic conditions.

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Endovaginal sonography for guidance in draining pelvic fluid collections.

Cited by 25 publications

References 2 publications

Computed tomography-guided percutaneous abscess drainage in coloproctology: review of the literature

Computed tomography-guided percutaneous abscess drainage in coloproctology: review of the literature

CT-Guided Percutaneous Drainage of Tuberculous and Non-Tuberculous Deep Pelvic Abscesses

Transvaginal Interventional Procedures: Aspiration, Biopsy, and Catheter Drainage

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