Outcomes of Minimally Invasive Management of Tubo-ovarian Abscess: A Systematic Review
نویسندگان
چکیده
ObjectiveTo compare the success rate, complications, and hospital length-of-stay of 3 modalities minimally invasive management tubo-ovarian abscesses (TOAs): laparoscopy, ultrasound-guided drainage, computed tomography–guided drainage.Data SourcesElectronic-based search in PubMed, EMBASE, Ovid MEDLINE, Google Scholar, Cochrane Central Register Controlled Trials, using following Medical Subject Heading terms: “minimally surgical procedures,” “drainage,” “abscess,” “tubo-ovarian,” “ovarian diseases,” “fallopian tube diseases.”Methods Study SelectionOf 831 articles initial results, 10 studies were eligible for inclusion our systematic review.Tabulation, Integration, ResultsA total 975 patients included study; 107 (11%) had laparoscopic drainage procedures, 406 (42%) image-guided (ultrasound or tomography) TOAs. Image-guided TOA higher rates (90%–100%) than (89%–96%) use antibiotic treatment alone (65%–83%). Patients treated with no complications (for up to 6 months follow-up) shorter lengths stay (0–3 days on average) compared (5–12 days) conservative antibiotics (7–9 days).ConclusionAlthough TOAs remains first-line, review indicates that better outcomes achieved by approach only. Of techniques, provided highest rates, fewest shortest stays laparoscopy. The low magnitude evidence calls further randomized trials. This was registered International Prospective Systematic Review (register, http://www.crd.york.ac.uk/PROSPERO;CRD 42020170345).
منابع مشابه
Minimally invasive approach of tubo-ovarian abscesses Tratamento minimamente invasivo dos abcessos tubo-ováricos
PURPOSE: To evaluate the treatment outcome of tubo-ovarian abscesses managed by transvaginal ultrasound-guided aspiration. METHODS: Descriptive analysis of all patients with tubo-ovarian abscesses treated with a minimally invasive procedure, ultrasound-guided drainage, at the Department of Gynecology, Centro Hospitalar Vila Nova de Gaia/ Espinho, during a period of 5 years (from June 2009 to Ju...
متن کاملTubo-Ovarian Abscess Misdiagnosed Ovarian Malignancy
Tubo-ovarian abscess (TOA) is a severe sequele of pelvic inflammatory disease. The diagnosis is dependent on the aspects of medical history, physical examination, laboratory tests and imaging. However, the dilemma exists in differentiation of TOA and ovarian malignant tumor sometimes. We present a case of TOA misdiagnosed as pelvic malignancy because of its untypical clinical features, malignan...
متن کاملPerimenopausal pneumococcal tubo-ovarian abscess--a case report and review.
BACKGROUND Genital tract infections in females secondary to Streptococcus pneumoniae (pneumococcus) are unusual. Tubo-ovarian abscess resulting from such an infection is a rare occurrence and diagnosis is not always easy. This report demonstrates the problems of recognizing this condition and summarizes the pathomechanism, investigations leading to a diagnosis and the subsequent management. C...
متن کاملTubo-ovarian abscess in a virgin girl
BACKGROUND Tubo-ovarian abscess as a serious complication of pelvic inflammatory disease is very uncommon in sexually inactive girls. CASE We report a case of tubo-ovarian abscess in a 24-year-old sexually inactive girl with transverse vaginal septum who was presented with abdominal pain and a pelvic mass and without prior surgical history and no evidences of appendicitis, inflammatory bowel ...
متن کاملA Case of Tubo-ovarian Abscess in a Pregnant Woman
Tubo-ovarian abscess in pregnancy is extremely rare. In this report, we present a patient who had asymptomatic tubo-ovarian abscess during pregnancy. It was diagnosed incidentally immediately after vaginal delivery. Emergency laparotomy was followed and surgical findings included a 4 cm-sized, right, ruptured tubo-ovarian abscess with massive purulent contamination of the whole pelvic cavity. R...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Minimally Invasive Gynecology
سال: 2021
ISSN: ['1553-4650', '1553-4669']
DOI: https://doi.org/10.1016/j.jmig.2020.09.014