[Treatment of the tubo-ovarian abscesses]

O. Garbin, Renaud Verdon, R Verdon, A Fauconnier, Arnaud Fauconnier
Journal de gynecologie, obstetrique et biologie de la reproduction · 2012 · vol. 41(8) , pp. 875–885 · doi:10.1016/j.jgyn.2012.09.012 · PMID:23146745 · W1980043421
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This paper discusses the management of tubo-ovarian abscesses.

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Abstract

The antibiotic treatment is indispensable for the treatment of the tubo-ovarian abscesses (TOA). It has to have a wide spectre and would be secondarily adapted in case of a sexually transmitted infection. The surgery remains indicated in first intention in case of vital threat (generalized peritonitis, toxic shock). In the not complicated TOA, the evacuation of abscesses (by draining under imaging or laparoscopy) with the antibiotic treatment gives better rates of cure than the antibiotic treatment alone. For the surgery, several entrys are possible. The laparoscopy allows a shorter hospitalization with fewer complications and a faster resolution of the fever than the laparotomy. The conservative surgery, realized by laparoscopy, has hight rates of successes with few complications. The radical surgery, by coelioscopy or by laparotomy, has high rates of complications. Transvaginal ultrasound guided aspiration is an alternative in the drainage by laparscopy with identical succes. It has been well evaluated. It has low morbidity and can be proposed in first intention in not complicated TOA.

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MeSH descriptors

Abscess Abscess Fallopian Tube Diseases Fallopian Tube Diseases Ovarian Diseases Ovarian Diseases Abscess Abscess Anti-Bacterial Agents Anti-Bacterial Agents Combined Modality Therapy Drainage Fallopian Tube Diseases Fallopian Tube Diseases Female Humans Laparoscopy Ovarian Diseases Ovarian Diseases Peritonitis

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