Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: A study of 302 cases

Our purpose was to evaluate the effectiveness and safety of transvaginal ultrasound-guided aspiration together with antibiotic therapy for treatment of tubo-ovarian abscess. A review of women treated with transvaginal ultrasound-guided aspiration for tubo-ovarian abscess at Haukeland University Hosp...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2005-10, Vol.193 (4), p.1323-1330
Main Authors: Gjelland, Knut, Ekerhovd, Erling, Granberg, Seth
Format: Article
Language:English
Subjects:
Abdominal Abscess - diagnostic imaging
Abdominal Abscess - therapy
Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Combined Modality Therapy
Fallopian Tube Diseases - diagnostic imaging
Fallopian Tube Diseases - therapy
Female
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
Ovarian Diseases - diagnostic imaging
Ovarian Diseases - therapy
Suction - methods
Transvaginal aspiration
Treatment
Tubo-ovarian abscess
Ultrasonography
Vagina
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Summary:Our purpose was to evaluate the effectiveness and safety of transvaginal ultrasound-guided aspiration together with antibiotic therapy for treatment of tubo-ovarian abscess. A review of women treated with transvaginal ultrasound-guided aspiration for tubo-ovarian abscess at Haukeland University Hospital, Bergen, Norway, between June 1986 and July 2003 was performed. Immediate clinical response and longer-term follow-up results were assessed. A total of 449 transvaginal aspirations were performed on 302 women. A total of 282 women (93.4%) were successfully treated for transvaginal aspiration of purulent fluid, together with antibiotic therapy. In the other 20 women (6.6%), surgery was performed. The main indications for surgery were diagnostic or therapeutic uncertainty, such as suspected residual tubo-ovarian abscess or pain. No procedure-related complications were diagnosed. Transvaginal ultrasound-guided aspiration combined with antibiotics is an effective and safe treatment regimen for tubo-ovarian abscess. The high success rate indicates that it should be a first-line procedure.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2005.06.019