Tubo-ovarian abscess: The treatment by interventional radiology and laparoscopy related to abscess size
Turkiye Klinikleri Jinekoloji Obstetrik, cilt.22, sa.3, ss.166-170, 2012 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 3
- Basım Tarihi: 2012
- Dergi Adı: Turkiye Klinikleri Jinekoloji Obstetrik
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.166-170
- Anahtar Kelimeler: Abdominal abscess, Laparoscopy, Radiography, interventional, Surgical procedures, minimally invasive
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To determine the feasibility of the treatment of tubo-ovarian abscess by interventional radiology and laparoscopy related to abscess size. Material and Methods: We collected data from 43 patients admitted with the diagnosis of tubo-ovarian abscess from January 1, 2008 to January 1, 2011. Three abscess groups were created according to size as Group I: ≤4 cm (n=12), Group II 5-8 cm (n=23) and Group III: >8 cm (n=8). Symptoms and signs on admission, findings of laboratory testing and diagnosting imaging, treatment modalities and the duration of the hospitalization were recorded. The feasibility of the interventional radiology and the laparoscopy and conversion to laparatomy in the treatment groups were analysed. Results: Four of the patients were treated only by antibiotics and anti-inflammatory agents. Two of the patients in group I, five of the patients in group II and four of the patients in group III were managed by transvaginal or transabdominal catheter drainage under the guidance of ultrasonography or tomography respectively. Four of the patients in group I and seven of the patients in group II were treated with laparoscopy. Laparoscopy was failed in 6 out of 17 patients whom were converted to laparotomy. The only reported complication was a bowel injury in one of the cases at laparotomy. Conclusion: Treatment of tubo-ovarian abscess by drainage under the guidance of interventional radiology should be encouraged. Laparoscopy may be a surgical management option in experienced clinics in patients with abscess size <8 cm. Copyright © 2012 by Türkiye Klinikleri.