Outcomes of surgical practice on tubo-ovarian abscess in an academic hospital

Year 2021, Volume: 7 Issue: 1, 80 - 87, 04.01.2021

Burak Sezgin Melike Nur Akın Burcu Kasap

https://doi.org/10.18621/eurj.767468

Cited By: 1

Abstract

Objectives: We aimed to analyseour experience in the surgical management of tubo-ovarian abscess at a tertiary hospital.

Methods: Data from patients who underwent laparoscopy or laparotomyfor treatment of tubo-ovarian abscess were retrospectively analyzed. The clinical and surgical outcomes of patients with tubo-ovarian abscess were compared according to the applied surgical approach.

Results: The mean largest diameter of the abscess in the laparoscopy and laparotomy groups were similar (p = 0.520). The mean day for total antibiotic use was significantly shorter in the laparoscopy group (10.00 ± 4.37 day vs 17.91 ± 6.59 day; p = 0.002). All cases in the laparotomy group needed to change the antibiotic regimen, but it was needed only in 28.58% of patients in the laparoscopy group. However, preoperative fever and pulse rate was significantly higher in laparotomy group than in the laparoscopy group (p = 0.004, p = 0.014; respectively). There was no statistical difference in terms of applied surgical procedure betweenthetwo groups. The most applied surgical procedure was abscess drainage in both of the groups (71.42%, 90.90%; respectively). The median operation time in patients with laparoscopy was statistically shorter than in patients with laparotomy (65.50 [58-93] minutes vs 84 [74-90] minutes, p = 0.048). In comparison of postoperative complications between two groups, there was no statistically significant difference. We observed statistically significant declination in white blood cell count and C-reactive protein values at the postoperative 7th day in all patients (p < 0.001 and p < 0.001, respectively).

Conclusions: In terms of surgical approach for tubo-ovarian abscess, laparoscopy is more effective than laparotomy for shorter duration of postoperative antibiotic use, operation time and length of hospital stay.

Keywords

Laparoscopy, laparotomy, pelvic inflammatory disease, surgical approach, tubo-ovarian abscess

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