Image-Guided Percutaneous Drainage Reduces the Need for Surgical Interventions in Patients with Tubo-Ovarian Abscess: A Cohort Study

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dc.contributor.authorHasdemir P.S.
dc.contributor.authorDuzgun F.
dc.contributor.authorUcar D.
dc.contributor.authorOzyurt B.C.
dc.contributor.authorPekindil G.
dc.date.accessioned2024-07-22T08:03:32Z
dc.date.available2024-07-22T08:03:32Z
dc.date.issued2023
dc.description.abstractManagement of tubo-ovarian abscess (TOA) is a challenging healthcare problem especially in reproductive age women. The aim of this study is to determine the current role of image-guided primary percutaneous drainage in avoidance of surgical intervention in the management of TOA. Material and Methods: A total of 76 patients hospitalized in our tertiary care center with the diagnosis of TOA were retrospectively evaluated. The study population was divided into 2 groups based on the treatment modalities as antibiotic treatment (n=48) and image-guided percutaneous drainage (n=28) and evaluated in terms of clinical and laboratory characteristics and the requirement for surgical intervention. Results: Surgical intervention was required in 1 (3.6%) patient treated with percutaneous drainage and in 10 (20.8%) patients treated with antibiotics (p=0.036). The choice of treatment modality was independent of demographic characteristics, clinical and laboratory findings. The size of TOA in percutaneous drainage group was significantly larger compared to the antibiotic treatment group (mean 6.75±1.886 cm versus 5.92±5.88 cm, respectively, p=0.047). Rehospitalization during follow-up was higher among patients treated with antibiotics only compared to percutaneous drainage group (p=0.06). Conclusion: Percutaneous drainage is an acceptable treatment option including large-sized TOA and decreases the requirement of surgical intervention in selected cases. Copyright © 2023 by Türkiye Klinikleri.
dc.identifier.DOI-ID10.5336/jcog.2022-91113
dc.identifier.issn26199467
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12337
dc.language.isoEnglish
dc.publisherOrtadog u Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.
dc.rightsAll Open Access; Bronze Open Access
dc.subjectbeta lactam
dc.subjectC reactive protein
dc.subjectceftriaxone
dc.subjectclindamycin
dc.subjecttetracycline
dc.subjectabdominal pain
dc.subjectadult
dc.subjectaged
dc.subjectantibiotic therapy
dc.subjectArticle
dc.subjectclinical evaluation
dc.subjectcohort analysis
dc.subjectcontrolled study
dc.subjectdiagnostic imaging
dc.subjectfemale
dc.subjectfollow up
dc.subjecthospital readmission
dc.subjecthospitalization
dc.subjecthuman
dc.subjectinterventional radiologist
dc.subjectlaboratory test
dc.subjectmajor clinical study
dc.subjectnausea
dc.subjectnuclear magnetic resonance imaging
dc.subjectpelvic pain
dc.subjectpercutaneous drainage
dc.subjectretrospective study
dc.subjectsexual intercourse
dc.subjecttertiary care center
dc.subjecttuboovarian abscess
dc.subjectvagina bleeding
dc.subjectvagina discharge (disease)
dc.titleImage-Guided Percutaneous Drainage Reduces the Need for Surgical Interventions in Patients with Tubo-Ovarian Abscess: A Cohort Study
dc.typeArticle

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