Comparison of ultrasound-guided drainage with other available treatment modalities for, treatment of tubo-ovarian abscess

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dc.authorid0000-0002-3285-9990en_US
dc.authorid0000-0002-9350-582Xen_US
dc.authorid0000-0001-7982-1407en_US
dc.authorid0000-0002-6941-6851en_US
dc.contributor.authorAydın, Edip
dc.contributor.authorPeker, Nurullah
dc.contributor.authorBademkıran, M. Hanifi
dc.contributor.authorİçen, Mehmet Sait
dc.contributor.authorGül, Talip
dc.date.accessioned2023-01-09T13:30:22Z
dc.date.available2023-01-09T13:30:22Z
dc.date.issued2018en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.description.abstractObjective: The present study aimed at the retrospective evaluation of the medicalrecords of patients treated for tubo-ovarian abscess (TOA) at our clinic and investigation of the efficacyof USG-guided drainage compared with that of other available treatment modalities. Materialand Methods: Medical records of 100 patients with TOA, who were treated and followed up atthe Department of Gynecology and Obstetrics, School of Medicine, Dicle University between January2009 and April 2015, were reviewed retrospectively. Details such as demographic data, risk factors,clinical and laboratory findings, treatment modalities used, and complications observed wererecorded for each patient. Results: The mean age of the patients was 36.46±11.6 years. Of the 100patients, 10 were menopausal women. Pelvic pain was the most common complaint in all patients(100%). The history of intrauterine or intra-abdominal intervention within six months was themost common risk factor (60.5% patients) for the development of TOA. Of the patients, 25% reportedfever (≥38 °C), 55% had leukocytosis, 85% had high sedimentation rate, and 92% had highCRP levels. The development of leukocytosis was not observed to be associated with the treatmentmodality used (p > 0.05). Of the patients, 38% underwent only medical treatment, 47% underwentmedical treatment followed by surgery, and 15% underwent medical treatment followed by USGguideddrainage. All 34 (72.3%) patients who had undergone surgical treatment required fertilitypreservingsurgery. Intraoperative bowel injury (6.3% patients) and wound site infection (8.5%patients) were among the common complications reported in patients undergoing surgical treatment.The mean duration of hospital stay was 7.9±6 days. The longest mean duration of hospital stay(10.5±3.9 days) was observed in the patients who had undergone USG-guided drainage. Conclusion:Broad-spectrum antibiotic therapy, the first step of treatment in patients with TOA, increasesthe size of abscess. In addition, a significant number of patients with bilateral abscesses require additionalintervention (surgery). Our findings suggest that USG-guided drainage should be consideredonly in patients not responding to medical treatment and not consenting to undergo surgicaltreatment.en_US
dc.identifier.citationAydın, E., Peker, N., Bademkıran, M. H., İçen, M. S. ve Gül, T. (2018). Comparison of ultrasound-guided drainage with other available treatment modalities for, treatment of tubo-ovarian abscess. Journal of Clinical Obstetrics & Gynecology, 28(1), 1-8.en_US
dc.identifier.doi10.5336/jcog.2017-59367
dc.identifier.endpage8en_US
dc.identifier.issn2619-9467
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85048723257
dc.identifier.scopusqualityQ4
dc.identifier.startpage1en_US
dc.identifier.trdizinid310858
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/310858
dc.identifier.urihttps://hdl.handle.net/11468/11192
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/310858
dc.identifier.volume28en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorİçen, Mehmet Sait
dc.institutionauthorGül, Talip
dc.language.isoenen_US
dc.publisherTürkiye Klinikleri Yayınevien_US
dc.relation.ispartofJournal of Clinical Obstetrics & Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTubo-ovarian abscessen_US
dc.subjectMedical treatmenten_US
dc.subjectSurgical treatmenten_US
dc.subjectUSG-guided drainageen_US
dc.titleComparison of ultrasound-guided drainage with other available treatment modalities for, treatment of tubo-ovarian abscessen_US
dc.titleComparison of ultrasound-guided drainage with other available treatment modalities for, treatment of tubo-ovarian abscess
dc.typeArticleen_US

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