Minimally Invasive Surgical Management of Tubo-Ovarian Abscess

Abstract

<h3>Study Objective</h3> This video demonstrates a minimally invasive stepwise approach to surgical management of the tubo-ovarian abscess. Patient characteristics with high likelihood of requiring surgical intervention for TOA and considerations for pre-operative optimization are reviewed. Three novel surgical techniques are illustrated to help avoid intra-operative complications, particularly involving the bowel. ‘<i>Gravity for traction</i>' with sharp dissection, gentle interrogation of tissue planes and ‘<i>tissue plane surfing</i>' are demonstrated to achieve normalization of anatomy and surgical goals. The role of salpingectomy in fertility and non-fertility cases is also explored. <h3>Design</h3> N/A. <h3>Setting</h3> N/A. <h3>Patients or Participants</h3> Written consent was obtained from patient cases illustrated by this video. <h3>Interventions</h3> N/A. <h3>Measurements and Main Results</h3> N/A. <h3>Conclusion</h3> N/A.