Laparoscopic Treatment of Tubo-ovarian Abscess: Thirty Years' Experience

Henry-Suchet, J

doi:10.1016/s1074-3804(05)60395-7

Cited by 19 publications

(17 citation statements)

References 11 publications

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“…At the time of the surgery, laparoscopic drainage of the abscess may have been adequate, as suggested by some authors [10]. It is, however, important with endometriomas to perform a "cystoscopy" to visualise the interior of the cyst.…”

Section: Discussionmentioning

confidence: 99%

Unsuspected unusual endometriotic ovarian cancer

Rizzuto

Odejinmi

2008

Gynecol Surg

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In recent years, laparoscopic surgery has become the gold standard in the management of presumed benign adnexal masses. As preoperative selection is not perfect, some cases of ovarian malignancy are encountered at laparoscopy, during the management of adnexal masses presumed to be benign. We report the case of a 45-year-old lady with endometriosis, who presented with a pelvic abscess 6 months after the treatment of an endometrioma managed at another unit. She subsequently underwent a laparoscopic salpingo-oophorectomy. The histology returned showing an endometrioid adenocarcinoma of the ovary. We review the literature regarding the use of laparoscopy for ovarian masses, especially in the case of ovarian endometrioma in the perimenopause. Though conservative surgical management of endometriomas in young women is advocated by some authors, this article highlights the possible pitfalls in the management of endometriomas in women over the age of 40 years, as endometriomas can be associated with an increased risk of endometrioid and clear-cell adenocarcinoma of the ovary.

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Section: Discussionmentioning

confidence: 99%

Unsuspected unusual endometriotic ovarian cancer

Rizzuto

Odejinmi

2008

Gynecol Surg

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“…[28][29][30][31] Laparoscopy provides direct visual inspection of pelvic and abdominal organs and provides access to the adnexa for possible drainage and culture of the abscesses. The disadvantages of laparoscopy include the risks of anesthesia, the risks of surgery, and the expense of the procedure.…”

Section: L I N I C a L P R E S E N T A T I O N A N D D I A G N O S I Smentioning

confidence: 99%

“…Some authors now advocate early laparoscopy for drainage of the abscess that will then increase the effectiveness of the antibiotics. [28][29][30] This management plan has been used successfully in as many as 80% of patients. [28][29][30] Antibiotic Therapy.…”

Section: T H E R a P E U T I C O P T I O N Smentioning

confidence: 99%

“…[28][29][30] This management plan has been used successfully in as many as 80% of patients. [28][29][30] Antibiotic Therapy. There are many accepted therapeutic regimens for the treatment of PID and TOA.…”

Section: T H E R a P E U T I C O P T I O N Smentioning

confidence: 99%

“…The initial report by Henry-Suchet et al showed that patients may be treated with laparoscopy safely. 28,29 The conservative operative procedures also include operative laparoscopy with endoscopic drainage of the abscess. Henry-Suchet and colleagues reported a series of 50 patients with TOAs who were treated via operative laparoscopy.…”

Section: Cdc Inpatient Treatment Regimensmentioning

confidence: 99%

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