| The management of pelvic abscess. | |
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MedLine Citation:
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PMID: 19230781 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The optimum treatment for pelvic abscess would be an approach that is safe, efficacious, cost-effective, minimally invasive, and which affects the woman's fertility potential as little as possible. In women of reproductive age tubo-ovarian abscess is one of the most common types of pelvic abscess. Tubo-ovarian abscesses are classically treated with broad-spectrum antibiotics. Frequently this approach fails and surgical intervention becomes necessary in about 25% of all cases. Surgical procedures include laparotomy or laparoscopy with drainage of abscess, unilateral or bilateral salpingo-ophorectomy, and hysterectomy. However, surgery for tubo-ovarian abscess is often technically difficult and associated with complications. An alternative approach is the use of imaging-guided drainage of abscess in combination with antibiotics. Combined data from several studies indicate that ultrasound-guided transvaginal drainage with concomitant antibiotics is especially safe and efficacious. This chapter discusses the management of pelvic abscess with a special focus on transvaginal ultrasound-guided drainage of tubo-ovarian abscess. |
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Authors:
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Seth Granberg; Knut Gjelland; Erling Ekerhovd |
Publication Detail:
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Type: Journal Article Date: 2009-02-20 |
Journal Detail:
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Title: Best practice & research. Clinical obstetrics & gynaecology Volume: 23 ISSN: 1532-1932 ISO Abbreviation: Best Pract Res Clin Obstet Gynaecol Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-09-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101121582 Medline TA: Best Pract Res Clin Obstet Gynaecol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 667-78 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Akershus University Hospital, 1478 Lørenskog, Norway. sethg@online.no |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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