Transvaginal Drainage vs Laparoscopy for Tubo-Ovarian Abscess

In this randomized clinical trial, the noninferiority of transvaginal drainage compared with laparoscopy for tubo-ovarian abscess evacuation was not established, and transvaginal drainage required reintervention more frequently than laparoscopy. Considering the less invasive nature of transvaginal drainage, this approach should be offered as an alternate to laparoscopy, although patients should be aware that it has a higher probability of reintervention.

Corresponding Author: Martin Koskas, MD, PhD, Department of Gynecology and Obstetrics, Assistance Publique–Hôpitaux de Paris, Hôpital Bichat, Université Paris Cité, 46 rue Henri Huchard, 75018 Paris, France (martin.koskas@aphp.fr).

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