腹腔鏡下手術を施行した卵管卵巣膿瘍12症例の後方視的検討

Abstract

Objective: The purpose of this study was to evaluate the laparoscopic management of tubo-ovarian abscess.Methods: We retrospectively evaluated 12 patients with tubo-ovarian abscess who received laparoscopic management in Kariya Toyota General Hospital between January 1, 2008, and December 31, 2013. Clinical and laboratory data were evaluated.Results: The median age of the patients was 40 years (range, 26–57 years). Laparoscopic adnexectomy was performed in 10 patients, and laparoscopic cystectomy was performed in 2 patients. The infection focus was a chocolate cyst in 9 patients, the fallopian tube in 2 patients, and the normal ovary in 1 patient. The mean operation duration was 164.2 minutes, and the mean blood loss volume was 290 mL. Seven patients were treated primarily with intravenous antibiotics. However, the treatment was ineffective in all of the patients. Nevertheless, all of the patients were discharged within 3 to 10 postoperative days.Conclusion: Laparoscopic management requires a high-skill technique but is an effective treatment strategy for tubo-ovarian abscess.