title: [Tubo-ovarian abscesses treatment: Faisability and results of trans-vaginal ultrasound-guided aspiration].
abstract: OBJECTIVE
  Two years after the French guidelines, the objective was to assess the feasibility and efficiency of ultrasound-guided trans-vaginal drainage of tubo-ovarian abscesses (TOA) and to study the responsible germs.
  
  
  METHODS
  All the patients with a larger abscess than 20mm were included prospectively from May 2011 to July 2014 in the university hospital of Lille.
  
  
  RESULTS
  Sixty-nine drainages were performed among 50 patients. Success rate was 94%. No complication occurred. One germ was found in 55% of patients, the TOA was polymicrobian in 20% of cases.
  
  
  CONCLUSIONS
  Ultrasound-guided trans-vaginal drainage of TOA is safe and effective with more than 90% of success rate.
authors.affiliation: Service de chirurgie gynécologique, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Vermersch
authors.affiliation: Université Lille-Nord-de-France, 1-bis, rue Georges-Lefèvre, 59044 Lille cedex, France; Centre de biologie pathologie, laboratoire de bactériologie hygiène, institut de microbiologie, CHRU de Lille, 59037 Lille, France.
authors.forename: R
authors.initials: R
authors.lastname: Dessein
authors.affiliation: Service de chirurgie gynécologique, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Lucot
authors.affiliation: Service de chirurgie gynécologique, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; Université Lille-Nord-de-France, 1-bis, rue Georges-Lefèvre, 59044 Lille cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Rubod
authors.affiliation: Service de chirurgie gynécologique, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; Université Lille-Nord-de-France, 1-bis, rue Georges-Lefèvre, 59044 Lille cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Cosson
authors.affiliation: Service de chirurgie gynécologique, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France. Electronic address: geraldine.giraudet@chru-lille.fr.
authors.forename: G
authors.initials: G
authors.lastname: Giraudet
mesh_terms: D000038:Abscess / Q000453:epidemiology / Q000382:microbiology / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D005184:Fallopian Tube Diseases / Q000453:epidemiology / Q000382:microbiology / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D010049:Ovarian Diseases / Q000453:epidemiology / Q000382:microbiology / Q000628:therapy*; D011183:Postoperative Complications / Q000453:epidemiology; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000009:adverse effects / Q000379:methods*; D014621:Vagina / Q000000981:diagnostic imaging / Q000382:microbiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Abcès tubo-ovariens; Fertility; Ponction écho-guidée; Tubo-ovarian abscess; Ultrasound-guided drainage