Surgical approach of tubo-ovarian abscesses from theory to our minimally invasive practice

Abstract

Keywords: minimally invasive treatment surgical approach tubo-ovarian abscess a b s t r a c t Background: Tubo-ovarian abscesses are entities of infectious etiology, mostly as a result of pelvic inflammatory disease. Over the past decades we verified that the treatment is lifesaving and the approach can be, and should be, minimally invasive. The advent of antibiotics, its parenteral combined administration, and the appearance of techniques of drainage, made possible a better treatment of this pathological condition. Objective: Analysis of our experience in tubo-ovarian abscess treatment. Methods: Retrospective study, with database consultation, of all cases of tubo-ovarian abscesses treated in our department during a period of 4 years (2009e2012), with emphasis on our experience using a minimally invasive surgical approach, performed in 22 cases. Results: Forty-five cases medically and surgically treated, with 17 cases undergoing a drainage procedure. Conclusion: A minimally invasive procedure was performed in almost half of the cases with a faster clinical improvement and low morbidity.

Extraperitoneal Spillage in Ruptured Tubo-Ovarian Abscess: A Case Report and Review of Literature

“…Imaging-guided drainage of abscesses paired with antibiotics offers an alternative approach. Minimally invasive procedures for TO abscesses performed by the laparoscopy approach and transvaginal ultrasound-guided drainage are associated with less morbidity and a shorter hospital stay [ 10 - 12 ].…”

Laparoscopic Surgical Management of an Iatrogenic Tubo-ovarian Abscess Following Hysteroscopy in a Sexually Inexperienced Female

“…It is usually a consequence of PID. [ 1 2 3 ] A TOA may form as an untoward consequence of a hysteroscopic procedure. This adverse outcome is rare, with an incidence rate of about only 0.2%.…”

Tubo‐ovarian abscess: A proposed new scoring system to guide clinical management

“…There is increasing evidence supporting early intervention within the first 24–48 h of hospital admission in those who are unlikely to respond to antibiotics 4 . Patients undergoing early surgery or radiological drainage demonstrate a faster recovery, 10 a more rapid resolution of fever, 11,12 a shorter hospital stay, 11–13 and radiological resolution rates at 6 months 14 . Rosen et al 15 have also shown that pregnancy rates were also improved in those who underwent immediate laparoscopic drainage (32%–63%) compared with those medically managed (4%–15%).…”