Tubo-ovarian abscess management in our clinic

OBJECTIVES: It is aimed to examine and determine the sociodemographic, clinical parameters and ultrasonographic (USG) findings and to make various predictions about patients who will need tube-ovarian abscess (TOA) surgery. MATERIAL AND METHODS: Within the scope of the study conducted between April...

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Main Authors: Necdet Öncü, Ali Buhur, Hüseyin Güray Biçer
Format: Article
Language:English
Published: Via Medica 2025-06-01
Series:Ginekologia Polska
Subjects:
Online Access:https://journals.viamedica.pl/ginekologia_polska/article/view/89400
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author Necdet Öncü
Ali Buhur
Hüseyin Güray Biçer
author_facet Necdet Öncü
Ali Buhur
Hüseyin Güray Biçer
author_sort Necdet Öncü
collection DOAJ
description OBJECTIVES: It is aimed to examine and determine the sociodemographic, clinical parameters and ultrasonographic (USG) findings and to make various predictions about patients who will need tube-ovarian abscess (TOA) surgery. MATERIAL AND METHODS: Within the scope of the study conducted between April 2016 and March 2021, 140 patients diagnosed with TOA were evaluated. The parties in the comparison were compared based on clinical and USG findings of demographic characteristics of the patients who received medical and surgical treatment and those who received only medical treatment. RESULTS: Ninety-eight (72.05%) patients whose surgical and medical treatment required underwent laparotomy, laparoscopy, and USG-guided drainage. The most important potential hazards for surgical procedures include severe abdominal pain, extent of abscess, and length of hospital stay. Critical threshold for a surgical procedure is when the abscess size becomes 5.5 cm (95% CI: 0.686–0.855, 0.686–0.855, p < 0.05). In the USG-guided drainage group no other complications were noticed. CONCLUSIONS: The size of the abscess is a valuable indicator of whether surgical treatment is required to manage TOAs and the USG-guided drainage led to fewer complications.
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institution Kabale University
issn 0017-0011
2543-6767
language English
publishDate 2025-06-01
publisher Via Medica
record_format Article
series Ginekologia Polska
spelling doaj-art-700db63f4c554af5a77b89e73371a4542025-08-21T06:11:17ZengVia MedicaGinekologia Polska0017-00112543-67672025-06-0196610.5603/GP.a2022.0119Tubo-ovarian abscess management in our clinicNecdet Öncü0https://orcid.org/0000-0001-9656-5919Ali Buhur1https://orcid.org/0000-0003-1228-0962Hüseyin Güray Biçer2https://orcid.org/0000-0002-2257-4174Kanuni Sultan Süleyman Training and Research Hospital Obstetrics and Gynecology Clinic, İstanbul, TürkiyeKanuni Sultan Süleyman Training and Research Hospital Obstetrics and Gynecology Clinic, İstanbul, TürkiyeSarıyer Hamidiye Etfal Training and Research Hospital Obstetrics and Gynecology Clinic, İstanbul, TürkiyeOBJECTIVES: It is aimed to examine and determine the sociodemographic, clinical parameters and ultrasonographic (USG) findings and to make various predictions about patients who will need tube-ovarian abscess (TOA) surgery. MATERIAL AND METHODS: Within the scope of the study conducted between April 2016 and March 2021, 140 patients diagnosed with TOA were evaluated. The parties in the comparison were compared based on clinical and USG findings of demographic characteristics of the patients who received medical and surgical treatment and those who received only medical treatment. RESULTS: Ninety-eight (72.05%) patients whose surgical and medical treatment required underwent laparotomy, laparoscopy, and USG-guided drainage. The most important potential hazards for surgical procedures include severe abdominal pain, extent of abscess, and length of hospital stay. Critical threshold for a surgical procedure is when the abscess size becomes 5.5 cm (95% CI: 0.686–0.855, 0.686–0.855, p < 0.05). In the USG-guided drainage group no other complications were noticed. CONCLUSIONS: The size of the abscess is a valuable indicator of whether surgical treatment is required to manage TOAs and the USG-guided drainage led to fewer complications.https://journals.viamedica.pl/ginekologia_polska/article/view/89400surgeryultrasonographytubo-ovarian abscess (TOA)abscess size
spellingShingle Necdet Öncü
Ali Buhur
Hüseyin Güray Biçer
Tubo-ovarian abscess management in our clinic
Ginekologia Polska
surgery
ultrasonography
tubo-ovarian abscess (TOA)
abscess size
title Tubo-ovarian abscess management in our clinic
title_full Tubo-ovarian abscess management in our clinic
title_fullStr Tubo-ovarian abscess management in our clinic
title_full_unstemmed Tubo-ovarian abscess management in our clinic
title_short Tubo-ovarian abscess management in our clinic
title_sort tubo ovarian abscess management in our clinic
topic surgery
ultrasonography
tubo-ovarian abscess (TOA)
abscess size
url https://journals.viamedica.pl/ginekologia_polska/article/view/89400
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