Ultrasound-guided puncture of cystic tumors in the lower pelvis of young women

✍ Scribed by S. Granberg; N. Crona; L. Enk; K. Hammarberg; M. Wikland

• Publisher: John Wiley and Sons
• Year: 1989
• Tongue: English
• Weight: 460 KB
• Volume: 17
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.1870170207

✦ Synopsis

During the period from 1984 through 1986, 72 ultrasound-guided cyst punctures were performed in 60 young women (s40 years). Thirty-one punctures were performed using the transabdominal route and 41 punctures under the guidance of endovaginal scanning. General or local anesthesia were used in 97% of the transabdominal punctures while the corresponding figure for the endovaginal technique was 49%.

Seventy-seven percent (46160) of the women developed no new cysts within one year of the last puncture. Thirteen percent (8160) had to be punctured twice and 3% (2/60) three times. No complications occurred in any of the 72 punctures. Of those women with cyst relapses andlor persistent abdominal pain, 7 were subjected to laparotomy and 5 to laparoscopy.

Ultrasound-guided puncture of cystic tumors in the lower pelvis of young women seems to be an alternative to laparoscopically guided puncture or laparotomy. As compared to surgery, the ultrasound-guided technique may mean less risk for pelvic adhesions in young women with unproven fertility.