Akademik Veri Yönetim Sistemi
Jinekoloji ve Obstetrik Dergisi, cilt.18, sa.3, ss.162-165, 2004 (Scopus, TRDizin)
OBJECTIVE: To investigate the clinical and laboratory results, treatment methods applied to the patients with tubo-ovarian abscess and also to investigate the complications developed in these patients in our clinic. STUDY DESIGN: Charts of 24 women who admitted to our clinic between January 1997-December 2003 and underwent surgical treatment for the tubo-ovarian abscess (TOA), were investigated, retrospectively, Laparoscopy was performed on two patients. The remaining 2/2 patients underwent laparotomy. The clinical and laboratory results, operations methods and complications were recorded in patients with TOA. RESULT(s): The main complaints of patients were lower pelvic pain (95.6%) and fever (33.3%). The incidence of multiparity was 87.5%. A significant percentage (41.7%) of the patients had undergone intrauterine or intraabdominal intervention within last three months. The percentage of prior history of pelvic inflammatory disease and intrauterine device usage were 33.3% and 54.2%, respectively. The incidence of fever (> 38°C), leukocytosis, and high sedimentation rates were 62.5%, 83.3%, and 100%, respectively. In patients asking to remain fertile, conservative, i.e. organ-preserving surgeries (drainage of TOA) were performed (50%). Ablative treatment modalities were used in women who no longer desired to bear children (50%). Ablative treatment modalities consisted of unilateral (33.3%), bilateral (4.2 %) salpingo-oophorectomy (BSO) and total abdominal hysterectomy-BSO (12.5%). Five of the patients developed intraoperative (20.8%) and six of them developed postoperative complications (25%). CONCLUSION(s): The surgical intervention should be pursued early after the diagnosis of TOA because of high residual morbidity and negative impact on fertility. The organ preserving surgery can be performed on patients who wished to remain fertile.