[Tubo-ovarian abscesses treatment: Faisability and results of trans-vaginal ultrasound-guided aspiration].

Research paper by C C Vermersch, R R Dessein, J-P JP Lucot, C C Rubod, M M Cosson, G G Giraudet

Indexed on: 23 Jun '15Published on: 23 Jun '15Published in: Journal de Gynécologie Obstétrique et Biologie de la Reproduction


Two years after the French guidelines, the objective was to assess the feasibility and efficiency of ultrasound-guided trans-vaginal drainage of tubo-ovarian abscesses (TOA) and to study the responsible germs.All the patients with a larger abscess than 20mm were included prospectively from May 2011 to July 2014 in the university hospital of Lille.Sixty-nine drainages were performed among 50 patients. Success rate was 94%. No complication occurred. One germ was found in 55% of patients, the TOA was polymicrobian in 20% of cases.Ultrasound-guided trans-vaginal drainage of TOA is safe and effective with more than 90% of success rate.