Advantages of Open Laparoscopic Surgery over Exploratory Laparotomy in Patients with Tubo-ovarian Abscess

Chih-Chun Yang, Pu Chen, Jen-Yu Tseng, Peng‐Hui Wang
In: The Journal of the American Association of Gynecologic Laparoscopists · 2002 · vol. 9(3) , pp. 327–332 · doi:10.1016/s1074-3804(05)60412-4 · PMID:12101330 · W2048807592
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This paper reviews the benefits of open laparoscopic surgery compared to exploratory laparotomy for treating patients with tubo-ovarian abscess.

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Abstract

Study objectiveTo compare laparoscopic surgery and conventional laparotomy in managing patients with tubo-ovarian abscess (TOA).DesignRetrospective study (Canadian Task Force classification II-2).SettingRegional hospital.PatientsSixty-nine women with clinically suspicious TOA.InterventionOperative laparoscopy or laparotomy.Measurements and main resultsLaparoscopic surgery in 19 women had significant advantages over laparotomy in 37 women. It decreased hospital stay (5.37 +/-1.38 days vs 8.92 +/- 2.59 days, p = 0.0001), had a lower percentage of wound infections, and had a shorter time for fever to subside (25.79 +/- 11.45 vs 39.46 +/- 17.47 hrs, p = 0.003).ConclusionAlthough management of TOA consists of conservative medical treatment with antibiotics, it is now widely accepted that surgical intervention should be pursued early after the diagnosis. Open laparoscopy seems to be a good alternative to traditional laparotomy in managing these patients.

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