Laparoscopic management of tubo-ovarian abscess: a retrospective analysis of 12 cases

Tomokazu Umezu, Ayako Osafune, Kazumasa Mogi, Chieko Aoki, Chie Yamada, Takashi Nagai, Junko Matsui, Shinichi Yamamoto
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2015 · vol. 31(1) , pp. 132–135 · doi:10.5180/jsgoe.31.132 · W2633282461
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This retrospective analysis of 12 patients found that laparoscopic adnexectomy or cystectomy, combined with antibiotics, effectively treated tubo-ovarian abscesses despite initial antibiotic failure in some cases.

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Abstract

Objective: The purpose of this study was to evaluate the laparoscopic management of tubo-ovarian abscess.Methods: We retrospectively evaluated 12 patients with tubo-ovarian abscess who received laparoscopic management in Kariya Toyota General Hospital between January 1, 2008, and December 31, 2013. Clinical and laboratory data were evaluated.Results: The median age of the patients was 40 years (range, 26–57 years). Laparoscopic adnexectomy was performed in 10 patients, and laparoscopic cystectomy was performed in 2 patients. The infection focus was a chocolate cyst in 9 patients, the fallopian tube in 2 patients, and the normal ovary in 1 patient. The mean operation duration was 164.2 minutes, and the mean blood loss volume was 290 mL. Seven patients were treated primarily with intravenous antibiotics. However, the treatment was ineffective in all of the patients. Nevertheless, all of the patients were discharged within 3 to 10 postoperative days.Conclusion: Laparoscopic management requires a high-skill technique but is an effective treatment strategy for tubo-ovarian abscess.
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Objective

The purpose of this study was to evaluate the laparoscopic management of tubo-ovarian abscess.

Methods

We retrospectively evaluated 12 patients with tubo-ovarian abscess who received laparoscopic management in Kariya Toyota General Hospital between January 1, 2008, and December 31, 2013. Clinical and laboratory data were evaluated.

Results

The median age of the patients was 40 years (range, 26–57 years). Laparoscopic adnexectomy was performed in 10 patients, and laparoscopic cystectomy was performed in 2 patients. The infection focus was a chocolate cyst in 9 patients, the fallopian tube in 2 patients, and the normal ovary in 1 patient. The mean operation duration was 164.2 minutes, and the mean blood loss volume was 290 mL. Seven patients were treated primarily with intravenous antibiotics. However, the treatment was ineffective in all of the patients. Nevertheless, all of the patients were discharged within 3 to 10 postoperative days.

Conclusion

Laparoscopic management requires a high-skill technique but is an effective treatment strategy for tubo-ovarian abscess.

Methods

We retrospectively evaluated 12 patients with tubo-ovarian abscess who received laparoscopic management in Kariya Toyota General Hospital between January 1, 2008, and December 31, 2013. Clinical and laboratory data were evaluated.

Results

The median age of the patients was 40 years (range, 26–57 years). Laparoscopic adnexectomy was performed in 10 patients, and laparoscopic cystectomy was performed in 2 patients. The infection focus was a chocolate cyst in 9 patients, the fallopian tube in 2 patients, and the normal ovary in 1 patient. The mean operation duration was 164.2 minutes, and the mean blood loss volume was 290 mL. Seven patients were treated primarily with intravenous antibiotics. However, the treatment was ineffective in all of the patients. Nevertheless, all of the patients were discharged within 3 to 10 postoperative days.

Conclusion

Laparoscopic management requires a high-skill technique but is an effective treatment strategy for tubo-ovarian abscess. © 2015 日本産科婦人科内視鏡学会

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