Minimally invasive approach of tubo-ovarian abscesses

• Published in: Revista Brasileira de ginecologia e obstetrícia 2015-03, Vol.37 (3), p.115-118
• Main Authors: Silva, Fátima, Castro, Jorge, Godinho, Cristina, Gonçalves, João, Ramalho, Graça, Valente, Francisco
• Format: Article
• Language: English
• Subjects: Abscess - surgery; Adult; Aged; Drainage - methods; Fallopian Tube Diseases - surgery; Female; Humans; Middle Aged; Minimally Invasive Surgical Procedures; OBSTETRICS & GYNECOLOGY; Ovarian Diseases - surgery; Ovarian diseases/ultrasonography; Surgical procedures, minimally invasive; Ultrasonography, Interventional; Young Adult
• ISSN: 0100-7203; 1806-9339; 1806-9339
• DOI: 10.1590/SO100-720320150005257

To evaluate the treatment outcome of tubo-ovarian abscesses managed by transvaginal ultrasound-guided aspiration. Descriptive analysis of all patients with tubo-ovarian abscesses treated with a minimally invasive procedure, ultrasound-guided drainage, at the Department of Gynecology, Centro Hospitalar Vila Nova de Gaia/Espinho, during a period of 5 years (from June 2009 to June 2014). Twenty-six cases were included in the study. The mean age of the study group was 42.8 years. All patients were submitted to transvaginal ultrasound-guided aspiration and sclerosis with iodated solution, as well as received broad-spectrum intravenous antibiotics. The mean time from admission to drainage was 2.5 days. Cultures for aerobic and anaerobic pathogens were positive in 14 of the 26 cases. A complete response was noted in 23 of the 26 cases. No complications or morbidity were noted as a consequence of the drainage procedures. Minimally invasive treatment of tubo-ovarian abscesses by transvaginal ultrasound-guided drainage is an effective and safe approach.