Évaluation de la faisabilité du traitement des abcès tubo-ovariens par ponction trans-vaginale écho-guidée

C. Vermersch, Rodrigue Dessein, Jean-Philippe Lucot, Chrystèle Rubod, M Cosson, Géraldine Giraudet
In: Journal de Gynécologie Obstétrique et Biologie de la Reproduction · 2015 · vol. 45(3) , pp. 243–248 · doi:10.1016/j.jgyn.2015.04.016 · PMID:26096351 · W588701924
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This study evaluates the feasibility of treating tubo-ovarian abscesses using transvaginal ultrasound-guided drainage.

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Abstract

ObjectiveTwo 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.Material and methodsAll the patients with a larger abscess than 20mm were included prospectively from May 2011 to July 2014 in the university hospital of Lille.ResultsSixty-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.ConclusionUltrasound-guided trans-vaginal drainage of TOA is safe and effective with more than 90% of success rate.

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