Experience of tubo‐ovarian abscess in western Turkey

Güngördük, Kemal; Güzel, Esra; Aşıcıoğlu, Osman; Yıldırım, Gökhan; Ataser, Guler; Ark, Cemal; Gulova, Sıdıka S.; Uzunçakmak, Cihangir

doi:10.1016/j.ijgo.2013.07.017

Cited by 27 publications

(45 citation statements)

References 15 publications

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“…Karakulak et al reported a mean abscess diameter of 6.0 ±3.1 cm, Kaplan et al reported a mean abscess diameter of 7.1 ±2.7 cm, and Güngördük et al reported a mean abscess diameter of 6.4 ±2.9 cm. 6,9,12 In the present study, the mean abscess size (7.2 ±2 cm) was similar to that reported in previous studies. Some studies compared abscess sizes of patients with TOA depending on the treatment modalities used.…”

Section: Discussionsupporting

confidence: 92%

“…Previous studies demonstrated that surgical cure rate was higher than medical cure rate in patients, when the abscess sizes was based on 6, 7, and 8 cm. 7,12,14,18 The present study also showed that the surgical cure rate was higher than the medical cure rate in patients,which the abscess sizes was based on 6 cm (55.2%), 7 cm (57.5%), and 8 cm (59.3%).…”

Section: Discussionsupporting

confidence: 50%

“…6,12 In the present study, intestinal injury and wound infection were observed in 6.3% and 8.5% patients, respectively, who had undergone surgical treatment.…”

Section: Discussionsupporting

confidence: 48%

“…Previous studies reported leukocyte counts and CRP levels of 11.500-16.000/mm 3 and 7.6-14 mg/dL, respectively, in patients undergoing medical treatment, and 14000-16700/mm 3 and 16.1-53.8 mg/dL, respectively, in patients undergoing surgical treatment, indicating that leukocyte counts and CRP levels of patients undergoing surgical treatment were higher than those of patients undergoing medical treatment. 7,12,[14][15][16] In the present study, the mean leukocyte count and CRP level of patients undergoing medical treatment were 11.850/mm 3 and 11.1 mg/dL, respectively, while those of patients undergoing surgical treatment were 13.780/mm 3 and 14.1 mg/dL, respectively, and those of patients undergoing USG-guided drainage were 14.870/mm 3 and 16.2 mg/dL, respectively. These findings indicated that leucocyte counts and CRP levels of patients undergoing surgical treatment were higher than those of patients undergoing medical treatment, which was consistent with that reported in previ- ous studies.…”

Section: Discussionsupporting

confidence: 47%

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Comparison of Ultrasound-Guided Drainage with Other Available Treatment Modalities for, Treatment of Tubo-Ovarian Abscess

Aydın¹,

Peker²,

Bademkıran³

et al. 2018

JCOG

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 50%

“…6,12 In the present study, intestinal injury and wound infection were observed in 6.3% and 8.5% patients, respectively, who had undergone surgical treatment.…”

Section: Discussionsupporting

confidence: 48%

Section: Discussionsupporting

confidence: 47%

See 2 more Smart Citations

Comparison of Ultrasound-Guided Drainage with Other Available Treatment Modalities for, Treatment of Tubo-Ovarian Abscess

Aydın¹,

Peker²,

Bademkıran³

et al. 2018

JCOG

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“…However, the lymphocyte and WBC counts in the same study were not significantly elevated (17). Güngördük et al (18) showed that CRP and ESR levels were higher in surgically treated patients. In another study, CRP and ESR levels were found to be good predictors for medical treatment failure.…”

Section: Discussionmentioning

confidence: 71%

The evaluation of risk factors for failed response to conservative treatment in tubo-ovarian abscesses

Akkurt¹,

Yalçın²,

Akkurt³

et al. 2015

J Turkish German Gynecol Assoc

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Objective:The aim of our study is to assess the risk factors for medical treatment failure and to predict the patients who will require the surgical therapy as well as to predict the factors affecting treatment success. Material and Methods:This was a cross-sectional study including 76 women with tubo-ovarian abscesses (TOA) who were either conservatively or surgically treated and were admitted to two gynecology units over a 4-year period. The demographic characteristics of the patients, gynecologic and obstetric histories, size and localization of abscesses were recorded. Gentamicin plus clindamycin treatment protocol was implemented for all patients. Ampicillin treatment was added in three patients with the positive culture of Actinomyces. Response to treatment was evaluated after 48-72 h. Patients who fail to respond to medical treatment required surgery or percutaneous drainage. We compared clinical and laboratory factors between the groups. Results:In surgery group, patients were significantly older than the others (44.9±5.4 versus 39.1±7.6 years). Fifty-six patients (74%) responded to antibiotics and 20 of the patients required surgical intervention. Patients treated with antibiotics were hospitalized for an average of 6.32±2.8 days versus 12.75±5.6 days for those who required surgery (p=0.021). Patients who were surgically treated had a mean size of TOA of 67.9±11.2 mm versus 53.6±9.4 mm for those treated with antibiotics alone (p=0.036). There were no significant differences between groups in laboratory parameters, except for initial white blood cell (WBC) counts. The complications of surgery included in descending order of frequency blood transfusions, surgical wound infections, bowel injury, and bladder injury. Conclusion:An increased size of pelvic mass, higher initial WBC counts, advanced age, and smoking were all associated with failed response to conservative treatment. It is important to identify the risk factors to distinguish patients who will respond to antibiotic therapy and those who will need a surgical treatment. Thus, the required early intervention can result in a reduction in the morbidity associated with TOA. (J Turk Ger Gynecol Assoc 2015; 16: 226-30) Keywords: Antibiotic therapy, pelvic abscess, surgery, tubo-ovarian abscesses Received: 01 July, 2015 Accepted: 06 August, 2015 Available Online Date: 02 November, 2015 The evaluation of risk factors for failed response to conservative treatment in tubo-ovarian abscesses Material and MethodsThis was a cross-sectional study including 76 women with TOA who were either treated conservatively (group 1) and surgically (group 2) and were admitted to two gynecology units over a 4-year period. The study was subject to local ethics committee's approval, and written informed consent was obtained from patients who participated in this study. All authors and the study protocol have complied with the World Medical Association Declaration of Helsinki regarding the ethical conduct of research involving human subjects. In this study, some of t...

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The predictive role of CA-125 in the management of tubo-ovarian abscess. A retrospective study

Herzberg

Dior

Shushan

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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Experience of tubo‐ovarian abscess in western Turkey

Abstract: The combined use of the sonographic TOA diameter and laboratory parameters (ESR and CRP level) can aid clinical treatment decisions and improve the prediction of the outcome of medical TOA treatment.

Cited by 27 publications

References 15 publications

Comparison of Ultrasound-Guided Drainage with Other Available Treatment Modalities for, Treatment of Tubo-Ovarian Abscess

Comparison of Ultrasound-Guided Drainage with Other Available Treatment Modalities for, Treatment of Tubo-Ovarian Abscess

The evaluation of risk factors for failed response to conservative treatment in tubo-ovarian abscesses

The predictive role of CA-125 in the management of tubo-ovarian abscess. A retrospective study

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