Bülent ARICI, Ayşe Ender YUMRU, Süleyman SALMAN, Abdülhamit BOZYİĞİT, Burcu DİNÇGEZ

Kliniğimizde opere olan tuboovarian abse olgularının retrospektif analizi

Amaç: Bu çalışmanın amacı, kliniğimizde tubaovarian abse (TOA) tanısı ile opere olan hastalarda, uygulanan cerrahi tedavi yöntemlerini, gelişen intraoperatif ve postoperatif komplikasyonları değerlendirmektir. Materyal ve Metot: Ocak 2007 ile Mayıs 2012 tarihleri arasında Taksim Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde TOA tanısı ile opere edilen 52 hastanın dosyaları retrospektif olarak incelendi. Hastalara uygulanan operasyon yöntemleri ve gelişen komplikasyonlar kaydedildi. Bulgular: On bir hastaya (%21,1) laparoskopi, 41 has-taya (%78,9) laparotomi uygulandı. Fertilitesini koru-mak isteyen 24 hastaya (%46,1) organ koruyucu cerrahi girişim (TOA drenajı), diğer 28 hastaya (%53,9) rezektif cerrahi uygulandı. Organ koruyucu cerrahi yapılan grupta toplam intraoperatif komplikasyon oranı %4,2, rezektif cerrahi uygulanan grupta ise bu oran %32,1di. Toplam intraoperatif komplikasyonlar oranı rezektif cerrahi uygu-lanan grupta anlamlı olarak yüksek bulundu (P

Retrospective analysis of tuboovarian abscess cases operated in our clinic

Aim: The purpose of this study is to evaluate the surgical techniques, intraoperative and postoperative complications in patients who underwent surgery for tuboovarian abscess (TOA) in our clinic. Material and method: The charts of 52 women who were operated for TOA in Taksim Research and Training Hospital Obstetric and Gynecology Clinic between January 2007 and May 2012 were retrospectively analyzed. The surgical techniques applied and complications were recorded. Results: Laparoscopic surgery was performed in 11 patients (21.1%) and laparotomy in 41 patients (78.9%). Organ preserving approach (TOA drainage) was carried out for 24 patients (46.1%) who preferred to preserve her fertility and resective surgery was performed for the other 28 patients (53.9%). Total intraoperative compli-cation rates in the organ-preserving group and in the resective surgery group were 4.2% and 32.1%, respectively. Total intraoperative complication rates were significantly higher in resective surgery group (P<0.05). Conclusion: Early medical and surgical treatments are very important in patients with tubo-ovarian abscess because of the negative effects of TOA on ovarian functions and fertility and high mortality-morbidity rates in untreated cases. Organ preserving approach (TOA drainage) must be the treatment of choice for the selected cases, due to the high intraoperative complication rates in resective surgery.

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