Early and short-term complications after US-guided puncture of gynecologic lesions: evaluation after 1,000 consecutive cases.

Abstract

US-guided puncture of gynecologic lesions is safe in selected patients. Complication rates depend on the type of lesion and are very high in dermoid cysts, which should not be punctured, and extremely low in serous cysts, solid tumors, and mixed tumors.

Management of Ovarian Cysts with Aspiration and Methotrexate Injection

“…We never observed hemorrhage or peritonitis caused by puncture of the bowel. Similarly, no such complications were reported in a large series of 878 transabdominal US-guided punctures of gynecologic lesions, including 183 endometriotic cysts (42).…”

Chirurgie des endométriomes ovariens : de la physiopathologie à la prise en charge pratique pré-, per- et postopératoire

“…Sa réalisation est aisée dans la majorité des cas [56,57] et ne nécessite aucun matériel spécifique (sonde vaginale d'échographie AE couplée à un guide [58]). Le kyste peut être simplement aspiré [59] (l'analyse du contenu est indispensable), ou associé à une sclérothéapie par injection de tétracycline [60,61], d'éthanol [62], de méthotrexate [58,63] ou même d'interleukine-2 recombinante [64].…”

Ovarian cysts during pregnancy: Dilemmas in diagnosis and management

“…The major complication rate after puncture ranges from 0 to 2% in prospective studies (Zanetta et al 1993), depending on the type of the cyst: major complication with dermoid cysts, or no complications with serous cysts (Zanetta et al 2003). Such an incidence is low, but in view of the very low rate of complications among persisting cysts in pregnancy, Zanetta and associates believe that in the majority of cases cyst puncture represents a 'placebo' for the physician and the patient, rather than a treatment (Zanetta et al 2003).…”