Transvaginal Drainage of Pelvic Abscesses and Collections Using Transabdominal Ultrasound Guidance

Ching, Kevin C.; Sumkin, Jules H.

doi:10.1155/2015/283576

Cited by 3 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After the onset of symptoms and a CT scan, a vaginal ultrasound revealed the underlying abscess, which required drainage. The standard management of a pelvic abscess requires a minimally invasive technique, such as non-surgical percutaneous drainage, laparoscopic surgery, or transvaginal catheter placement (8). Because she had a hysterectomy and the abscess was located at the vaginal cuff, we decided to re-open one of the stitches and drain the fluid through the opening.…”

Section: Discussionmentioning

confidence: 99%

Case report: Pelvic abscess after cesarean section and hysterectomy

Krajnc

Takač

Mujezinović

et al. 2021

AMB

View full text Add to dashboard Cite

Purpose: The purpose of this article was to present the case of a pelvic abscess, which developed after an emergency cesarean section followed by a hysterectomy, to identify the risk factors, and describe a minimally invasive technique for abscess drainage. Case report: We present a 30-year-old patient at 35 + 4 weeks gestation who had an emergency cesarean section. The indication for the cesarean section were four previous cesarean sections. She had severe postpartum bleeding due to uterine atony and disseminated intravascular coagulopathy, which did not resolve with conservative treatment. A few days later, a pelvic abscess formed and complicated the post-operative recovery. Conclusion: A pelvic abscess is a rare complication following obstetrics surgery; however, it is important to take

show abstract

Section: Discussionmentioning

confidence: 99%

Case report: Pelvic abscess after cesarean section and hysterectomy

Krajnc

Takač

Mujezinović

et al. 2021

AMB

View full text Add to dashboard Cite

show abstract

“…Transrectal or transvaginal drainage of the pelvic collection can be a promising option to overcome these difficulties. Transvaginal drainage of pelvic collections clinical success rate may reach up to 100% [8] , but these methods are often under-used where expertise in techniques is limited. The availability of radiologists familiar with the technique, concern about the effectiveness, and long-term complication is likely to be reasons for the limited use of these procedures [9] .…”

Section: Discussionmentioning

confidence: 99%

Assessing the safety and effectiveness of trans-abdominal ultrasound-guided tube drainage for pelvic collections post-obstetrics and gynecological surgery

Sudha

2020

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

Background: There are some difficulties with trans-abdominal (TA) ultrasound (US)-guided drainage with the development of different methods of drainage (transvaginal). We aimed to evaluate the feasibility and effectiveness of TA US-guided drainage of pelvic fluid collection after gynecologic and obstetric surgeries. Methods: We conducted this study on patients with postoperative pelvic fluid collections following gynecologic or obstetric surgery. We examined the cases at our Obstetrics and Gynecology Department in collaboration with the Radiology Department at Fathima Institute of medical science over 12 months. We used imaging for the diagnosis of clinically symptomatic postoperative pelvic collection. All women underwent TA US-guided drainage by a standardized protocol. We monitored patients for at least 4 to 6 weeks and judged their outcomes according to the definitions of success and failure. We analyzed patient demographics, US, and clinical characteristics of the collection for their effects on clinical success. Results: We had included 52 patients in the study. The number of resolved cases after US-guided intervention was 88%, while the number of failed cases was 12%. We observed no statistically significant association between outcome and onset after operation, duration before admission after onset, time of hospital admission after operation, and time of intervention after diagnosis. There was no statistically significant association between the outcome and US findings and the nature and culture of aspirated fluid. The presence of associated comorbidities significantly affects the success of the procedure. Conclusions: TA US-guided drainage of pelvic fluid collections is effective and safe in women's management with infected pelvic fluid collections. The presence of comorbidities in the cases may interfere with the resolution of the abscess and failure of the procedure.

show abstract

“…Other minimally invasive procedures used in treatment of gynecological conditions are using transabdominal or transvaginal ultrasound drainage of pelvic abscess. In the study of Ching and Sumkin, they found 100% clinical success using this procedure for drainage of pelvic abscess [15].…”

Section: Introductionmentioning

confidence: 99%

The Outcomes of Interventional Radiology in Obstetrics and Gynecology at a University Hospital-A 10-year overview

Riyami

2023

View full text Add to dashboard Cite

Objectives: This study aimed to assess the outcomes of interventional radiology (IR) in obstetrics and gynecology patients. Material and methods:A retrospective cohort study was conducted between 1st of January 2010 to 31st of December 2019 among women (≥ 18 years old) who had a radiological intervention for an obstetrical or gynecological reason.Results: Out of the 50 pregnant women, 11 (22%) underwent uterine arteries embolization (UAE), 36 (72%) underwent prophylactic internal iliac arteries (IIA) balloon occlusion, one (2%) underwent inferior vena cava (IVC) filter and two (4%) underwent renal biopsies. The success rate of UAE procedures was 100% and there were no further procedures. The success rate of IIA balloon occlusion was 50%, nine (25%) patients needed an emergency hysterectomy, and one (2.8%) patient required another embolization procedure. The success rate of IVC filter and renal biopsies was 100% with no need for further management. A total of 35 women with gynecological conditions were included in the study. The indications for IR were 29 (83%) for uterine fibroids, two (6%) for ovarian mass biopsies and one (3%) case each for ectopic pregnancy, vaginal varicocele, pelvic pseudoaneurysm and uterine leiomyosarcoma. The most common intervention was UAE, 77% (n=27). The overall success rate for all procedures was 80% (n=28). There were Seven (20%) cases that required further alternative intervention which were medical or surgical interventions. Conclusion:This study showed a high success rate of the interventional radiological procedures with minor complications noted. This study built the base for further prospective multicenter studies.

show abstract

Transvaginal Drainage of Pelvic Abscesses and Collections Using Transabdominal Ultrasound Guidance

Cited by 3 publications

References 11 publications

Case report: Pelvic abscess after cesarean section and hysterectomy

Case report: Pelvic abscess after cesarean section and hysterectomy

Assessing the safety and effectiveness of trans-abdominal ultrasound-guided tube drainage for pelvic collections post-obstetrics and gynecological surgery

The Outcomes of Interventional Radiology in Obstetrics and Gynecology at a University Hospital-A 10-year overview

Contact Info

Product

Resources

About