Your browser doesn't support javascript.
loading
Minimally invasive approach of tubo-ovarian abscesses / Tratamento minimamente invasivo dos abcessos tubo-ováricos
Silva, Fátima; Castro, Jorge; Godinho, Cristina; Gonçalves, João; Ramalho, Graça; Valente, Francisco.
Affiliation
  • Silva, Fátima; Centro Hospitalar Vila Nova de Gaia. Department of Gynecology and Obstetrics. Espinho. PT
  • Castro, Jorge; Centro Hospitalar Vila Nova de Gaia. Department of Gynecology and Obstetrics. Espinho. PT
  • Godinho, Cristina; Centro Hospitalar Vila Nova de Gaia. Department of Gynecology and Obstetrics. Espinho. PT
  • Gonçalves, João; Centro Hospitalar Vila Nova de Gaia. Department of Gynecology and Obstetrics. Espinho. PT
  • Ramalho, Graça; Centro Hospitalar Vila Nova de Gaia. Department of Gynecology and Obstetrics. Espinho. PT
  • Valente, Francisco; Centro Hospitalar Vila Nova de Gaia. Department of Gynecology and Obstetrics. Espinho. PT
Rev. bras. ginecol. obstet ; Rev. bras. ginecol. obstet;37(3): 115-118, 03/2015. tab
Article in En | LILACS | ID: lil-741859
Responsible library: BR1.1
ABSTRACT

PURPOSE:

To evaluate the treatment outcome of tubo-ovarian abscesses managed by transvaginal ultrasound-guided aspiration.

METHODS:

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).

RESULTS:

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.

CONCLUSION:

Minimally invasive treatment of tubo-ovarian abscesses by transvaginal ultrasound-guided drainage is an effective and safe approach. .
RESUMO

OBJETIVO:

Avaliar os resultados da aspiração transvaginal ecoguiada no tratamento dos abcessos tubo-ováricos.

MÉTODOS:

Análise descritiva de todas as pacientes com diagnóstico de abcesso tubo-ovárico tratadas com um procedimento minimamente invasivo, drenagem ecoguiada, no Serviço de Ginecologia do Centro Hospitalar Vila Nova de Gaia/Espinho, durante um período de 5 anos (junho de 2009 a junho de 2014).

RESULTADOS:

Vinte e seis casos foram incluídos neste estudo, com média de idade de 42,8 anos. Todas as pacientes foram submetidas a punção aspirativa transvaginal ecoguiada e esclerose com solução iodada, associada a antibioterapia endovenosa de largo espectro de ação. O tempo médio desde a admissão até o procedimento de drenagem foi de 2,5 dias. Os exames culturais para micro-organismos aeróbicos e anaeróbicos foram positivos em 14/26 casos. Resposta completa com o tratamento instituído ocorreu em 23 dos 26 casos. Não houve registro de complicações ou morbilidade com os procedimentos de drenagem realizados.

CONCLUSÃO:

O tratamento minimamente invasivo dos abcessos tubo-ováricos, com drenagem transvaginal ecoguiada, constitui uma abordagem terapêutica eficaz e segura. .
Subject(s)
Key words

Full text: 1 Index: LILACS Main subject: Ovarian Diseases / Drainage / Ultrasonography, Interventional / Abscess / Fallopian Tube Diseases Limits: Adult / Aged / Female / Humans Language: En Journal: Rev. bras. ginecol. obstet Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2015 Type: Article

Full text: 1 Index: LILACS Main subject: Ovarian Diseases / Drainage / Ultrasonography, Interventional / Abscess / Fallopian Tube Diseases Limits: Adult / Aged / Female / Humans Language: En Journal: Rev. bras. ginecol. obstet Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2015 Type: Article