Surgical management of tuboovarian abscess: Results of retrospective case series

Abstract

Objectives: Tuboovarian abscess (TOA) is a serious and potentially life-threatening condition. Treatment modalities vary as broad spectrum of antibiotherapy, minimally-invasive drainage procedures, invasive surgery or combinations of these interventions. The objective of this study was to evaluate surgically treated patients for TOA. Materials and methods: The medical records of 57 cases who had surgically treated for TOA at Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Department of Obstetrics and Gynecology from January 2007 to September 2012 were evaluated retrospectively. Results: The average age was 37.2 years and the mean gravidity and parity were 2.9 and 2.1, respectively. The most common presenting symptom was abdominal pain 47.4% (n=27). Twenty eight (49.1%) of the patients had laparotomy and twenty nine (50.9%) of the patients had laparoscopic surgery. 6 patients had a ruptured TOA and 17.9% of the patients had complications. Conclusions: The choice of an open or laparoscopic surgical approach should be largely based on operator skill, experience, and ability to perform the necessary surgical maneuvers.

Keywords

• Complication, laparoscopy, surgery, tuboovarian abscess

Surgical management of tuboovarian abscess: Results of retrospective case series

Öz

Amaç: Tubaovaryan apse (TOA) ciddi ve hayati tehlikesi bulunan bir durumdur. Tedavi şekilleri olarak geniş spektrumlu antibioterapi, minimal invaziv abse drenajı, invaziv cerrahi veya bu tedavi usullerinin kombinasyonunu içermektedir. Bu çalışmanın amacı cerrahi olarak tedavi edilmiş TOA olgularını değerlendirmektir. Gereç ve yöntem: Ocak 2007-Eylül 2012 tarihleri arasında Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum kliniğinde yatırılıp cerrahi tedavisi yapılan hastalar retrospektif olarak incelendi. Bulgular: TOA olgularında ortalama yaş 37.2 olarak saptandı. Ortalama gravida ve parite sırası ile 2.9 ve 2.1 olarak bulundu. En sık saptanan semptom olarak %47.4 (n=27) oranı ile karın ağrısı izlendi. %49.1(n=28) hasta laparatomik cerrahi ve %50.9 (n=29) hasta laparaskopik cerrahi geçirdi. 6 hastada rüptüre TOA izlendi ve %17.9 hastada komplikasyon gelişti. Sonuç: Gerekli cerrahi müdahaleleri gerçekleştirmek için, açık veya laparoskopik cerrahi yaklaşımın seçimi büyük ölçüde operatörün beceri, deneyim ve yeteneğine bağlıdır.

Anahtar Kelimeler

• Cerrahi, Komplikasyon, laparoskopi, tubaovaryan apse

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