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

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 wi...

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Main Authors: Cenk Yasa, Ozlem Dural, Ercan Bastu, Harika Yumru, Omer Demir, Funda Güngör Uğurlucan
Format: Article
Language:English
Published: Medical Network 2016-08-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:http://gorm.com.tr/index.php/GORM/article/view/67
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author Cenk Yasa
Ozlem Dural
Ercan Bastu
Harika Yumru
Omer Demir
Funda Güngör Uğurlucan
author_facet Cenk Yasa
Ozlem Dural
Ercan Bastu
Harika Yumru
Omer Demir
Funda Güngör Uğurlucan
author_sort Cenk Yasa
collection DOAJ
description 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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spelling doaj.art-dc610e5b7d6d457280fb8631b51d6c292023-02-15T16:10:15ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512016-08-0122210.21613/GORM.2016.67430Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center ExperienceCenk Yasa0Ozlem Dural1Ercan Bastu2Harika Yumru3Omer Demir4Funda Güngör Uğurlucan5Istanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, IstanbulIstanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, IstanbulIstanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, IstanbulIstanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, IstanbulIstanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, IstanbulIstanbul University Istanbul School of Medicine Department of Obstetrics and Gynecology, IstanbulOBJECTIVE: 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.http://gorm.com.tr/index.php/GORM/article/view/67Tuboovarian abscess, Antibiotherapy, Conservative management
spellingShingle Cenk Yasa
Ozlem Dural
Ercan Bastu
Harika Yumru
Omer Demir
Funda Güngör Uğurlucan
Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience
Gynecology Obstetrics & Reproductive Medicine
Tuboovarian abscess, Antibiotherapy, Conservative management
title Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience
title_full Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience
title_fullStr Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience
title_full_unstemmed Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience
title_short Evaluation of the Results of Conservative Management of Women with Tuboovarian Abscess; Single Tertiary Center Experience
title_sort evaluation of the results of conservative management of women with tuboovarian abscess single tertiary center experience
topic Tuboovarian abscess, Antibiotherapy, Conservative management
url http://gorm.com.tr/index.php/GORM/article/view/67
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