Table 1.

Indications for transvaginal echo-guided puncture.

The ambulatory ultrasound transvaginal puncture and drainage technique is useful for: -obtaining a sample for pathological (cytology and biopsy) and microbiological (culture material) diagnosis -treatment of pelvic lesions (drainage) It can be used in cases of: -women with a history of previous oncological processes to rule out recurrence or progression of the disease -diagnosis of lesions not accessible to gynecological exploration (vaginal vault, myometrium or cervix) -early histologic diagnosis in cases of advanced peritoneal carcinomatosis or ovarian carcinoma, facilitating the introduction of personalized neoadjuvant chemotherapy for the patient without requiring initial surgery