title: Safety of transvaginal fine needle puncture of gynecologic masses: a report after 500 consecutive procedures.
abstract: Transvaginal sonographically guided puncture may be used for diagnostic and therapeutic purpose in general gynecology and in oncology. To define the complication rate of this technique, 500 consecutive procedures were reviewed; 289 procedures were on cystic masses, 146 on solid tumors, 34 on mixed tumors, and 31 on other lesions. No life-threatening complications occurred. Early mild and self-limited complications developed in eight procedures (1.6%). Short-term complications occurred in four cases (0.8%; two infections, one pelvic pain, one hemorrhage); two of these required surgery. Transvaginal sonographically guided puncture is safe and does not entail a higher risk of infection than transabdominal punctures.
authors.affiliation: Department of Obstetrics and Gynecology, Ospedale S. Gerardo, Monza, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Zanetta
authors.forename: A
authors.initials: A
authors.lastname: Lissoni
authors.forename: D
authors.initials: D
authors.lastname: Franchi
authors.forename: M R
authors.initials: MR
authors.lastname: Pittelli
authors.forename: G
authors.initials: G
authors.lastname: Cormio
authors.forename: D
authors.initials: D
authors.lastname: Trio
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000009:adverse effects; D005260:Female; D005831:Genital Diseases, Female / Q000473:pathology*; D005833:Genital Neoplasms, Female / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies