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Vaginal Drainage of Posthysterectomy Abscess Under Direct Ultrasonic Guidance

Departments of Radiology and Obstetrics and Gynecology, Beth Israel Hospital and Harvard Medical School, Boston, Massachusetts.

Abstract

Continuous real-time ultrasound was used to assist drainage of two infected posthysterectomy vaginal cuff hematomas. This method enabled the gynecologist to determine the position either of his finger or of the instrument in the cavity at all times. This allowed him to see that any loculations within the infected hematoma were broken down, and a draining Foley catheter was placed in a good position. The position of the ultrasound transducer on the anterior abdominal wall did not compromise the surgical field in any way.