Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience

Authors

  • Cenk Yasa Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Ozlem Dural Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Ercan Bastu Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Harika Yumru Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Omer Demir Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul
  • Funda Güngör Uğurlucan Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

DOI:

https://doi.org/10.21613/GORM.2016.67

Keywords:

Tuboovarian abscess, Antibiotherapy, Conservative management

Abstract

OBJECTIVE: To evaluate results of patients with conservative management of tuboovarian abscess (TOA).
STUDY DESIGN: A retrospective cohort study of women with TOA. Between January 2012 and February 2015, all women that hospitalized with diagnosis of TOA enrolled in this study. Cases were analyzed with respect to age, parity, medical conditions, history of intra-uterine device use, size of TOA, C-reactive protein (CRP) levels, white blood cell (WBC) count, CA-125 levels, antibiotic usage, hospitalization period.
RESULTS: Thirty-nine patients with TOA included in to this study. Mean age was 38.2 ± 11.5 years. Mean size of TOA was 5. 7 ± 2.1 cm. In comparison between patients with abscesses ≤ 6cm or >6cm, TOA size is not associated with important outcomes including duration of antibiotherapy and duration of hospitalization.
CONCLUSION: Women with TOAs should be admitted to the hospital and immediately started in parenteral antibiotics. Due to high levels of success with antibiotherapy, immediate surgical management should always be performed in cases of rupture.

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Author Biographies

Cenk Yasa, Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

Department of Obstetrics and Gynecology, M.D.

Ozlem Dural, Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

Department of Obstetrics and Gynecology, M.D.

Ercan Bastu, Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

Department of Obstetrics and Gynecology, M.D., Associate Proffesor

Harika Yumru, Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

Department of Obstetrics and Gynecology, M.D.

Omer Demir, Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

Department of Obstetrics and Gynecology, M.D.

Funda Güngör Uğurlucan, Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, Istanbul

Department of Obstetrics and Gynecology, M.D., Associate Proffesor

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Published

2016-08-31

How to Cite

1.
Yasa C, Dural O, Bastu E, Yumru H, Demir O, Uğurlucan FG. Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience. Gynecol Obstet Reprod Med [Internet]. 2016Aug.31 [cited 2021Sep.26];22(2):90-3. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/67

Issue

Section

Gynecology and Gynecological Oncology