ŞEN, Serhat İstanbul Üniversitesi - İstanbul Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , KURU, Oğuzhan İstanbul Üniversitesi - İstanbul Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , SAYGILI, Halil İstanbul Üniversitesi - İstanbul Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , BERKMAN, Sinan İstanbul Üniversitesi - İstanbul Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey

THE MANAGEMENT OF TUBO-OVARIAN ABSCESS

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Objective: To determine the management of tubo-ovarian abscess (TOA) and put out the complications in patients operated on.Materail and methods: Between 1988-2010, 108 patients file whom were diagnosed as TOA with the clinical and sonographic findings, were reviewed retrospectively. It has been realised that all patients were recieved wide-spectrum antibioteraphy regimens. Accordingly, 47 (43%) patients responded to antibiotic treatment, 61 (57%) patients required surgical intervention. Patients were compared according to demographic and sonographic findings. Patients files were analised depending on follow ups and postoperative complications were identified.Results: The mean age of patients responding to medical treatment (38 ± 2.8) and the average age of the patients do not respond (38 ± 3.4) were statistically similar. Similarly, in terms of the mean gravidity and parity of patients, intrauterine device (IUD) use and tubal ligation did not differ statistically. TOA size (p = 0.008) and bilaterality of the abscess (p = 0.002) was found that significantly greater in the group of surgery. Duration of hospitalization was shorter in the conservatively treated group (8.21 ± 1.9) (p 0.05). In conservative treatmet group, 85% of patients responded to Clindamycin + Gentamicin ± (amoxicillin + clavulanic acid) regimen (p = 0.0043). The overall complication rate of surgical group was 40% (25/61). These complications were of blood transfusion in 18 patients (29%, 18/61), skin and subcutaneous infection in 7 patients (11%, 7 / 61), Stumpf hematoma in 1 patient (1%, 1 / 61), 1 patient had evisceration (% 1, 1 / 61), bowel injury in 1 patient (1%, 1 / 61) and bladder injury in 2 patients (3%, 2 / 61) were set.Conclusions: We assign first-line treatment in patients with TOA as wide-spectrum antibiotherapy regimen. That aside if total volume of abscess increases serious requirement of surgical care should be taken under consideration.

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Management of tubaoverian abscess , surgery , conservative treatme

Journal Of Istanbul Faculty Of Medicine

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