Simple Technique for Transvaginal Aspiration of a Tubo-Ovarian Abscess

Lachiewicz, Mark; Nair, Navya

doi:10.1159/000443957

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…Transvaginal Needle Aspiration. Early TOA aspiration (for simple collections) has been advocated to prevent prolongation of the disease and the potential associated loss of fertility [99]. Needle aspiration is also helpful for diagnosis.…”

Section: Treatment Includes Antibioticsmentioning

confidence: 99%

“…Needle aspiration is also helpful for diagnosis. Fluid culture can be used to guide antibiotic management [99]. The choice of route for a given abscess varies among operators, institution type, patient habitus, and abscess location.…”

Section: Treatment Includes Antibioticsmentioning

confidence: 99%

“…Conservative Management Only. Small TOAs tend to resolve with antibiotics alone [99]. In a retrospective study of 122 patients, nearly two-thirds of TOAs resolved with antibiotics and supportive care [100].…”

Section: Treatment Includes Antibioticsmentioning

confidence: 99%

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ACR Appropriateness Criteria® Radiologic Management of Infected Fluid Collections

Weiss

Bailey

Hohenwalter

et al. 2020

Journal of the American College of Radiology

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Infected fluid collections are common and occur in a variety of clinical scenarios throughout the body. Minimally invasive image-guided management strategies for infected fluid collections are often preferred over more invasive options, given their low rate of complications and high rates of success. However, specific clinical scenarios, anatomic considerations, and prior or ongoing treatments must be considered when determining the optimal management strategy. As such, several common scenarios relating to infected fluid collections were developed using evidence-based guidelines for management.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Section: Treatment Includes Antibioticsmentioning

confidence: 99%

Section: Treatment Includes Antibioticsmentioning

confidence: 99%

See 1 more Smart Citation

ACR Appropriateness Criteria® Radiologic Management of Infected Fluid Collections

Weiss

Bailey

Hohenwalter

et al. 2020

Journal of the American College of Radiology

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show abstract

“…The risk factors related to TOA resemble the risk factors of PID. Past PID in personal history is also a significant risk factor for TOA (4). Pelvic inflammatory disease will have long term complications including chronic abdominal pain, ectopic pregnancy and infertility in almost 25% of women because of delayed medical therapy because of varying clinical features and lack of specific laboratory tests (5).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of risk factors predicting surgical treatment in tuboovarian abscess cases

Çoşkun

2019

Med Sci Discov

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Objective: The main outcome measure of the present study was to find out the predictive factors affecting the need for surgery in patients diagnosed with tuboovarian abscess (TOA). We also examined the success of different medical treatment regimens in those patients. Material and Methods: This was a retrospective clinical study performed on 96 TOA patients who were treated in the current hospital between August 2015 and August 2019. All patients underwent physical examination and ultrasonographic imaging with some laboratory tests to investigate the presence of TOA. Two different medical treatment regimens were administered as recommended by the international guidelines after the initial diagnoses. Patients with worsening clinical and/or laboratory findings and/or who did not respond to medical treatment were taken to surgery. Predictive factors for surgical intervention and success rates of medical treatment regimens were evaluated. Results: White blood cell (WBC) levels≥ 16000 and abscess size≥ 7 cm was strongly correlated with the requirement for surgery. The 94 patients received the Regimen 1. Six patients underwent surgery urgently when they were under medical treatment. Regimen 1 failed in 21 (22.34 %) patients out of 94, Regimen 2 was shifted to. Six patients (28.5%) out of 21 underwent surgery because of treatment failure with Regimen 2. Recovery was achieved in the remaining 15 (71.4%) patients. Conclusion: The success of medical TOA treatment was found to be high. Therefore, medical treatment can be applied first, except in case of acute abdomen. It was found that WBC and abscess diameter in patients with TOA in admission were the most important factors affecting the need for surgery. The factors affecting the duration of medical treatment were found to be age, WBC count, CRP (C-Reactive Protein), ESR (Erythrocyte Sedimentation Rate) and NLR (Neutrophil/Lymphocyte Ratio) levels.

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Simple Technique for Transvaginal Aspiration of a Tubo-Ovarian Abscess

Cited by 2 publications

References 11 publications

ACR Appropriateness Criteria® Radiologic Management of Infected Fluid Collections

ACR Appropriateness Criteria® Radiologic Management of Infected Fluid Collections

Evaluation of risk factors predicting surgical treatment in tuboovarian abscess cases

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