Percutaneous abscess drainage in gynecologic cancer patients.
Percutaneous abscess drainage (PAD) is regarded as an alternative treatment for the care of the gynecologic cancer patient with a pelvic infection. Four female patients with infected pelvic malignancies were evaluated and treated with PAD at Thomas Jefferson University Hospital over a 4-year period. Abscesses in three of the four patients were drained successfully and the catheters were ultimately removed. Successful drainage was defined as a good clinical response and avoidance of surgical debridement. For the patient with an infected pelvic malignancy, PAD offers an alternative to surgery without associated morbidity. Our experience indicates PAD is associated with expedient clinical recovery and preservation of quality of life for most patients.
Ramondetta
L M
LM
Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
Dunton
C J
CJ
Shapiro
M J
MJ
Carlson
J A
JA
Arsuaga
J
J
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications / Q000473:pathology / Q000601:surgery; D002404:Catheterization; D004322:Drainage / Q000379:methods / Q000592:standards*; D005260:Female; D005833:Genital Neoplasms, Female / Q000150:complications*; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011788:Quality of Life; D013290:Streptococcal Infections / Q000150:complications / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents