BibTex RIS Kaynak Göster

Surgical management of tuboovarian abscess: Results of retrospective case series

Yıl 2012, , 463 - 466, 01.12.2012
https://doi.org/10.5799/ahinjs.01.2012.04.0203

Öz

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.

Kaynakça

  • Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynae- col 2009;23(5):667.
  • D. V. L anders and R. L. Sweet, “Tubo-ovarian abscess: contemporary approach to management,” Reviews of Infectious Diseases, vol. 5, no. 5, pp. 876-884, 1983.
  • Tuncer SZ, Boyraz G, Yücel SÖ, Selçuk I, Yazıcıoglu A. Tuboovarian abscess due to colonic diverticulitis in a virgin patient with morbid obesity: A case report. Case Report Med 2012;2012: 413185
  • Pedowitz P, Bloomfield Rd. Ruptured adnexal abscess (tuboovarian) with generalized peritonitis. Am J Ob- stet Gynecol 1964;88: 721.
  • Vermeeren J, Te Linde Rw. Intraabdominal rupture of pelvic abscesses. Am J Obstet Gynecol 1954; 68(1):402.
  • Landers DV, Sweet RL. Tubo-ovarian abscess: con- temporary approach to management. Rev Infect Dis 1983;5(5):876.
  • Wiesenfeld HC, Sweet RL. Progress in the manage- ment of tuboovarian abscesses. Clin Obstet Gynecol 1993;36(2):433.
  • Gagliardi PD, Hoffer PB, Rosenfield AT. Correlative im- aging in abdominal infection: an algorithmic approach using nuclear medicine, ultrasound, and computed to- mography. Semin Nucl Med 1988;18(4):320.
  • Martens MG. Pelvic inflammatory Disease. In: Rock JA, Jones HW, editors. 9th ed. TeLindes Operative Gy- necology 2003. P. 675-704.
  • Ginsburg DS, Stern JL, Hamod KA, Genadry R, Spen- ce MR. Tubo-ovarian abscess: a retrospective review. Am J Obstet Gynecol 1980;138:10558.
  • Yildiz P, Cengiz H, Yildiz G, Sam DA, Yavuzcan A, Celikbas B, Sahin L. Two Unusual Clinical Presenta- tions of Broad Ligament Leimyomas: A Report of Two Cases. Medicina (Kaunas) 2012;48(3):163-5.
  • Taylor KJ, Wasson JF, De Graaff C et al. Accuracy of grey-scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients. Lancet 1978;1:83- 84.
  • R. L. Sweet, “Tubo-ovarian abscess,” in Pelvic Inflam- matory Disease, pp. 101-124, Taylor & Francis, Lon- don, UK, 2006.
  • Doganay M, Iskender C, Kilic S, Karayalcin R, Moralio- glu O, Mollamahmutoglu L. Treatment approaches in tubo-ovarian abscesses according to scoring system. Bratisl Lek Listy 2011;112(4):200-3.
  • L. A. McNutt, C. Wu, X. Xue, and J. P. Hafner, “Es- timating the relative risk in cohort studies and clini- cal trials of common outcomes,” Am J Epidemiol 2003;157(10):940-3.
  • Henry-Suchet J, Soler A & Loffredo V. Laparoscopic treatment of tuboovarian abscesses. J Reprod Med 1984;29(8):579-82.
  • Reich H & McGlynn F. Laparoscopic treatment of tuboovarian and pelvic abscess. J Reprod Med 1987;32(10):747-52.
  • Raiga J, Canis M, Le Boue¨ dec G et al. Laparoscopic management of adnexal abscesses: consequences for fertility. Fertil Steril 1996;66(5):712-7.
  • Buchweitz O, Malik E, Kressin P et al. Laparoscopic management of tubo-ovarian abscesses: retrospective analysis of 60 cases. Surg Endosc 2000;14(10):948- 50.

Surgical management of tuboovarian abscess: Results of retrospective case series

Yıl 2012, , 463 - 466, 01.12.2012
https://doi.org/10.5799/ahinjs.01.2012.04.0203

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.

Kaynakça

  • Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynae- col 2009;23(5):667.
  • D. V. L anders and R. L. Sweet, “Tubo-ovarian abscess: contemporary approach to management,” Reviews of Infectious Diseases, vol. 5, no. 5, pp. 876-884, 1983.
  • Tuncer SZ, Boyraz G, Yücel SÖ, Selçuk I, Yazıcıoglu A. Tuboovarian abscess due to colonic diverticulitis in a virgin patient with morbid obesity: A case report. Case Report Med 2012;2012: 413185
  • Pedowitz P, Bloomfield Rd. Ruptured adnexal abscess (tuboovarian) with generalized peritonitis. Am J Ob- stet Gynecol 1964;88: 721.
  • Vermeeren J, Te Linde Rw. Intraabdominal rupture of pelvic abscesses. Am J Obstet Gynecol 1954; 68(1):402.
  • Landers DV, Sweet RL. Tubo-ovarian abscess: con- temporary approach to management. Rev Infect Dis 1983;5(5):876.
  • Wiesenfeld HC, Sweet RL. Progress in the manage- ment of tuboovarian abscesses. Clin Obstet Gynecol 1993;36(2):433.
  • Gagliardi PD, Hoffer PB, Rosenfield AT. Correlative im- aging in abdominal infection: an algorithmic approach using nuclear medicine, ultrasound, and computed to- mography. Semin Nucl Med 1988;18(4):320.
  • Martens MG. Pelvic inflammatory Disease. In: Rock JA, Jones HW, editors. 9th ed. TeLindes Operative Gy- necology 2003. P. 675-704.
  • Ginsburg DS, Stern JL, Hamod KA, Genadry R, Spen- ce MR. Tubo-ovarian abscess: a retrospective review. Am J Obstet Gynecol 1980;138:10558.
  • Yildiz P, Cengiz H, Yildiz G, Sam DA, Yavuzcan A, Celikbas B, Sahin L. Two Unusual Clinical Presenta- tions of Broad Ligament Leimyomas: A Report of Two Cases. Medicina (Kaunas) 2012;48(3):163-5.
  • Taylor KJ, Wasson JF, De Graaff C et al. Accuracy of grey-scale ultrasound diagnosis of abdominal and pelvic abscesses in 220 patients. Lancet 1978;1:83- 84.
  • R. L. Sweet, “Tubo-ovarian abscess,” in Pelvic Inflam- matory Disease, pp. 101-124, Taylor & Francis, Lon- don, UK, 2006.
  • Doganay M, Iskender C, Kilic S, Karayalcin R, Moralio- glu O, Mollamahmutoglu L. Treatment approaches in tubo-ovarian abscesses according to scoring system. Bratisl Lek Listy 2011;112(4):200-3.
  • L. A. McNutt, C. Wu, X. Xue, and J. P. Hafner, “Es- timating the relative risk in cohort studies and clini- cal trials of common outcomes,” Am J Epidemiol 2003;157(10):940-3.
  • Henry-Suchet J, Soler A & Loffredo V. Laparoscopic treatment of tuboovarian abscesses. J Reprod Med 1984;29(8):579-82.
  • Reich H & McGlynn F. Laparoscopic treatment of tuboovarian and pelvic abscess. J Reprod Med 1987;32(10):747-52.
  • Raiga J, Canis M, Le Boue¨ dec G et al. Laparoscopic management of adnexal abscesses: consequences for fertility. Fertil Steril 1996;66(5):712-7.
  • Buchweitz O, Malik E, Kressin P et al. Laparoscopic management of tubo-ovarian abscesses: retrospective analysis of 60 cases. Surg Endosc 2000;14(10):948- 50.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Yazısı
Yazarlar

Hüseyin Cengiz Bu kişi benim

Hediye Dağdeviren Bu kişi benim

Murat Ekin Bu kişi benim

Cihan Kaya Bu kişi benim

Şükrü Yıldız Bu kişi benim

Levent Yaşar Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2012
Yayımlandığı Sayı Yıl 2012

Kaynak Göster

APA Cengiz, H., Dağdeviren, H., Ekin, M., Kaya, C., vd. (2012). Surgical management of tuboovarian abscess: Results of retrospective case series. Journal of Clinical and Experimental Investigations, 3(4), 463-466. https://doi.org/10.5799/ahinjs.01.2012.04.0203
AMA Cengiz H, Dağdeviren H, Ekin M, Kaya C, Yıldız Ş, Yaşar L. Surgical management of tuboovarian abscess: Results of retrospective case series. J Clin Exp Invest. Aralık 2012;3(4):463-466. doi:10.5799/ahinjs.01.2012.04.0203
Chicago Cengiz, Hüseyin, Hediye Dağdeviren, Murat Ekin, Cihan Kaya, Şükrü Yıldız, ve Levent Yaşar. “Surgical Management of Tuboovarian Abscess: Results of Retrospective Case Series”. Journal of Clinical and Experimental Investigations 3, sy. 4 (Aralık 2012): 463-66. https://doi.org/10.5799/ahinjs.01.2012.04.0203.
EndNote Cengiz H, Dağdeviren H, Ekin M, Kaya C, Yıldız Ş, Yaşar L (01 Aralık 2012) Surgical management of tuboovarian abscess: Results of retrospective case series. Journal of Clinical and Experimental Investigations 3 4 463–466.
IEEE H. Cengiz, H. Dağdeviren, M. Ekin, C. Kaya, Ş. Yıldız, ve L. Yaşar, “Surgical management of tuboovarian abscess: Results of retrospective case series”, J Clin Exp Invest, c. 3, sy. 4, ss. 463–466, 2012, doi: 10.5799/ahinjs.01.2012.04.0203.
ISNAD Cengiz, Hüseyin vd. “Surgical Management of Tuboovarian Abscess: Results of Retrospective Case Series”. Journal of Clinical and Experimental Investigations 3/4 (Aralık 2012), 463-466. https://doi.org/10.5799/ahinjs.01.2012.04.0203.
JAMA Cengiz H, Dağdeviren H, Ekin M, Kaya C, Yıldız Ş, Yaşar L. Surgical management of tuboovarian abscess: Results of retrospective case series. J Clin Exp Invest. 2012;3:463–466.
MLA Cengiz, Hüseyin vd. “Surgical Management of Tuboovarian Abscess: Results of Retrospective Case Series”. Journal of Clinical and Experimental Investigations, c. 3, sy. 4, 2012, ss. 463-6, doi:10.5799/ahinjs.01.2012.04.0203.
Vancouver Cengiz H, Dağdeviren H, Ekin M, Kaya C, Yıldız Ş, Yaşar L. Surgical management of tuboovarian abscess: Results of retrospective case series. J Clin Exp Invest. 2012;3(4):463-6.