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Pelvic abscesses: transvaginal US-guided drainage with the trocar method
J P McGahan1, B Brown, C D Jones
1Department of Radiology, University of California, Davis Medical Center, Sacramento 95831, USA.
Radiology
|August 1, 1996
Summary
The trocar technique for transvaginal ultrasound-guided pelvic abscess drainage is effective and safe. This minimally invasive approach achieved an 86% cure rate in a small patient cohort.
Area of Science:
- Gynecology
- Radiology
- Surgical Procedures
Background:
- Pelvic abscesses present a significant clinical challenge, often requiring invasive drainage.
- Transvaginal sonography offers precise visualization for pelvic interventions.
Purpose of the Study:
- To evaluate the efficacy and safety of the trocar technique for transvaginal sonographically guided pelvic abscess drainage.
- To assess the feasibility of this minimally invasive approach.
Main Methods:
- Seven women with presumed pelvic abscess underwent transvaginal ultrasound-guided drainage using the trocar technique.
- Catheters were placed under real-time ultrasound guidance and remained for 1-3 days.
Main Results:
- All drainage procedures were completed in under one hour.
- No procedural complications were reported.
- Catheter placement resulted in a successful cure in six out of seven patients (86% efficacy).
Conclusions:
- The trocar technique is a safe and effective method for transvaginal sonographically guided pelvic abscess drainage.
- This minimally invasive approach offers a high success rate for treating pelvic abscesses.