Transrectal and transvaginal sonographic intervention of infected pelvic fluid collections: a complete approach. Ultrasound Q 2005 Sep;21(3):175-85
Date
08/13/2005Pubmed ID
16096614DOI
10.1097/01.ruq.0000174753.16708.7aScopus ID
2-s2.0-24144462478 (requires institutional sign-in at Scopus site) 43 CitationsAbstract
Infected pelvic fluid collections are relatively common particularly after abdominal or pelvic surgery or in patients suffering from benign intestinal disease such as diverticulitis, appendicitis, or Crohn's disease. Historically the treatment of pelvic abscess has been either laparotomy with lavage or blind surgical incision and drainage through the rectal or vaginal wall. More recently, computed tomography and ultrasound-guided percutaneous drainage has become the procedure of choice, when feasible, for the treatment of pelvic abscess. However, many deep pelvic collections are not amenable to percutaneous technique. Transrectal or transvaginal ultrasound-guided abscess drainage is a safe and effective method used in the treatment of deep pelvic abscesses. The purpose of this article is to review the techniques, patient selection, pre- and post-procedural care, and monitoring aspects of transrectal or transvaginal ultrasound-guided drainage.
Author List
Sudakoff GS, Lundeen SJ, Otterson MFAuthors
Sarah J. Lundeen NP APP Outpatient in the Surgery department at Medical College of WisconsinMary F. Otterson MD Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AbscessAntibiotic Prophylaxis
Drainage
Female
Humans
Male
Monitoring, Physiologic
Pelvis
Postoperative Complications
Rectum
Ultrasonography, Interventional
Vagina