Single-Step Transvaginal Aspiration and Drainage for Suspected Pelvic Abscesses Refractory to Antibiotic Therapy

Lee, Brett C.; McGahan, John P.; Bijan, Bijan

doi:10.7863/jum.2002.21.7.731

Cited by 15 publications

(5 citation statements)

References 18 publications

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“…The transvaginal approach provides a direct route from the vagina into the pouch of Douglas or adnexal regions where TOAs are usually found. Lee et al . compared aspiration with catheter drainage.…”

Section: Managementmentioning

confidence: 99%

Diagnosis and management of tubo‐ovarian abscesses

Munro

Gharaibeh

Nagabushanam

et al. 2018

The Obstetric & Gynaecologis

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Key content Tubo‐ovarian abscesses represent a severe form of pelvic inflammatory disease and carry high morbidity. Diagnosis is made by combining the clinical picture (fever, pelvic pain and pelvic adnexal mass) with raised inflammatory markers and radiological findings demonstrating an abscess. Initial management with intravenous antibiotics may not be successful. Surgical intervention may be indicated but the optimal timing is not clear and image‐guided drainage can be a possible alternative to surgery. Surgery may be conservative or involve pelvic clearance and will depend on the clinical situation. Learning objectives To be able to recognise and initiate prompt treatment of pelvic inflammatory disease and tubo‐ovarian abscesses. To understand appropriate antibiotic treatment and/or radiological drainage. To be able to identify indications for timely surgical intervention and explore the optimal surgical approach of laparoscopic versus open surgery. Ethical issues Delays in treatment may have adverse effects on future fertility. Who is appropriate for fertility‐preserving treatment?

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Section: Managementmentioning

confidence: 99%

Diagnosis and management of tubo‐ovarian abscesses

Munro

Gharaibeh

Nagabushanam

et al. 2018

The Obstetric & Gynaecologis

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“…The development of dedicated endoprobes with needle guides has established US-guided transvaginal and transrectal abscess drainage as reliable treatments. In particular, transvaginal drainage has been described in several reports, whereas results from transrectal drainage are limited (Feld et al 1994;Ho Kim et al 2008;Nelson et al 1995;Corsi et al 1999;Alexander et al 1994;vanSonnenberg et al 1991;Lee et al 2002;Nosher et al 1987). Our preferred technique uses the transrectal route because in most of the cases, this approach provides the most direct access to perirectal and presacral fluid collections, which occurred most commonly among our 32 patients.…”

Section: Discussionmentioning

confidence: 93%

Ultrasound-Guided Drainage of Deep Pelvic Abscesses: Experience With 33 Cases

Lorentzen

Nolsøe

Skjoldbye

2011

Ultrasound in Medicine & Biology

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“…The efficacy and safety of these routes have been established by several retrospective reports [59][60][61][62][63]. The choice of route for a given abscess varies among operators and institution type, with transrectal and transvaginal approaches used much more commonly in academic centers [64].…”

Section: Pelvic Collections (See Variant 6)mentioning

confidence: 99%