THE MANAGEMENT OF TUBO-OVARIAN ABSCESS

Objective: to determine the management of tubo-ovarian abscess (toa) and put out the complications in patients operated on.materail and methods: between 1988-2010, 108 patients file whom were diagnosed as toa with the clinical and sonographic findings, were reviewed retrospectively. it has been realised that all patients were recieved wide-spectrum antibioteraphy regimens. accordingly, 47 (43%) patients responded to antibiotic treatment, 61 (57%) patients required surgical intervention. patients were compared according to demographic and sonographic findings. patients files were analised depending on follow ups and postoperative complications were identified.results: the mean age of patients responding to medical treatment (38 ± 2.8) and the average age of the patients do not respond (38 ± 3.4) were statistically similar. similarly, in terms of the mean gravidity and parity of patients, intrauterine device (iud) use and tubal ligation did not differ statistically. toa size (p = 0.008) and bilaterality of the abscess (p = 0.002) was found that significantly greater in the group of surgery. duration of hospitalization was shorter in the conservatively treated group (8.21 ± 1.9) (p <0.05). in conservative treatmet group, 85% of patients responded to clindamycin + gentamicin ± (amoxicillin + clavulanic acid) regimen (p = 0.0043). the overall complication rate of surgical group was 40% (25/61). these complications were of blood transfusion in 18 patients (29%, 18/61), skin and subcutaneous infection in 7 patients (11%, 7 / 61), stumpf hematoma in 1 patient (1%, 1 / 61), 1 patient had evisceration (% 1, 1 / 61), bowel injury in 1 patient (1%, 1 / 61) and bladder injury in 2 patients (3%, 2 / 61) were set.conclusions: we assign first-line treatment in patients with toa as wide-spectrum antibiotherapy regimen. that aside if total volume of abscess increases serious requirement of surgical care should be taken under consideration.