Primary Article

Operative and Conservative Treatment of Tubo-ovarian Abscess Due to Pelvic Inflammatory Disease

Authors: WILLIAM ROBERTS MD, J. LEE DOCKERY MD

Abstract

ABSTRACTOf 83 patients with tubo-ovarian abscess studied retrospectively, 18 were treated within 24 hours of admission with total abdominal hysterectomy and bilateral salpingo-oophorectomy. The other 65 patients were treated conservatively. In six patients, conservative therapy proved an immediate failure, and 14 patients had delayed failure. Thirty-nine patients were successfully treated conservatively, and six were lost to follow-up. We examined the length of hospital stay in the surgically treated group and the conservatively treated group. Immediate operation and delayed operation were examined in terms of mortality, morbidity, and hospital stay. Conservative therapy consisting of broad spectrum antibiotics combined with conservative operation when applicable is an effective method of treating unruptured tubo-ovarian abscess.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References