Predicting the Need for a Surgical Intervention in the Management of a Tubo-Ovarian Abscess

2021 ◽  
Vol 28 (11) ◽  
pp. S131-S132
Author(s):  
C.R. Fox ◽  
S.V. Paolillo ◽  
K.T. Downing
Keyword(s):  
Surgical Intervention ◽  
Ovarian Abscess

scholarly journals Epidemiology and Clinical Outcome of Patients Hospitalized With Pelvic Inflammatory Disease Complicated by Tubo-Ovarian Abscess

1995 ◽  
Vol 3 (4) ◽  
pp. 135-139 ◽  
Author(s):  
Ying Chan ◽  
Winsome Parchment ◽  
Joan H. Skurnick ◽  
Laura Goldsmith ◽  
Joseph J. Apuzzio
Keyword(s):  
Clinical Outcome ◽  
Antibiotic Therapy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Surgical Intervention ◽  
Severe Disease ◽  
University Hospital ◽  
Hospital Stays ◽  
Wbc Count ◽  
Ovarian Abscess

Objective: The purpose of this retrospective study was to compare the clinical outcome and characteristics of pelvic inflammatory disease (PID) complicated by tubo-ovarian abscess (TOA) with PID without TOA.Methods: Chart reviews were performed for all PID admissions to the University of Medicine and Dentistry of New Jersey-University Hospital, Newark, NJ, from January 1, 1992, to December 31, 1993.Results: The incidence in this study of TOA based on sonographic evidence of a complex adnexal mass was 18%. The major differences between the patients with and without TOAs were 1) history of hospitalization for PID: 68% (13/19) vs. 29% (25/85); 2) increased erythrocyte sedimentation rate: 82 vs. 41 mm/h; 3) increased WBC count on admission: 16,200 vs. 14,700/ml; 4) failure to respond to initial antibiotic therapy; and 5) longer hospital stay: 7.8 vs. 4.4 days, respectively. Surgical intervention was required in 3 patients: 2 patients who had TOAs and 1 patient who did not have a TOA by clinical examination or by ultrasound.Conclusions: Despite longer hospital stays and blood tests suggesting more severe disease processes, PID complicated by TOA is usually responsive to intravenous (IV) antibiotic therapy without the need for surgical intervention.

Surgical Intervention in Patients with Tubo-Ovarian Abscess: Clinical Predictors and a Simple Risk Score

2019 ◽  
Vol 26 (3) ◽  
pp. 535-543 ◽  
Author(s):  
Yuval Fouks ◽  
Aviad Cohen ◽  
Udi Shapira ◽  
Neta Solomon ◽  
Benny Almog ◽  
...  
Keyword(s):  
Risk Score ◽  
Surgical Intervention ◽  
Clinical Predictors ◽  
Ovarian Abscess

Tubo-Ovarian Abscess - Can We Predict the Need for Surgical Intervention?

2018 ◽  
Vol 25 (7) ◽  
pp. S187
Author(s):  
A. Borovich ◽  
D. Nassie ◽  
G. Cohen ◽  
H. Krissi ◽  
A. From ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Ovarian Abscess

scholarly journals The prediction of surgical intervention in patients with tubo-ovarian abscess

2021 ◽  
pp. 1-10
Author(s):  
Jong Ha Hwang ◽  
Bo Wook Kim ◽  
Soo Rim Kim ◽  
Jang Heub Kim
Keyword(s):  
Surgical Intervention ◽  
Ovarian Abscess

Surgical Intervention in Patients With Tubo-Ovarian Abscess

2019 ◽  
Vol 74 (10) ◽  
pp. 585-587
Author(s):  
Yuval Fouks ◽  
Aviad Cohen ◽  
Udi Shapira ◽  
Neta Solomon ◽  
Benny Almog ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Ovarian Abscess

scholarly journals The prediction of surgical intervention in patients with tubo-ovarian abscess

2020 ◽  
Author(s):  
Jong Ha Hwang ◽  
Bo Wook Kim
Keyword(s):  
Treatment Failure ◽  
Medical Treatment ◽  
Surgical Intervention ◽  
Risk Group ◽  
Laboratory Data ◽  
Intervention Group ◽  
Area Under The Curve ◽  
Wbc Count ◽  
Sensitivity Specificity ◽  
Ovarian Abscess

Abstract Background: The prediction of antibiotic treatment failure is helpful to identify patients with a high likelihood of needing surgical treatment early in patients diagnosed with tubo-ovarian abscess (TOA). The aim of this study was to compare the clinical characteristics of patients with TOA) who responded to medical treatment and those who underwent surgical intervention due to medical treatment failure.Material and Methods: Electronic medical records were evaluated retrospectively to identify patients who were diagnosed with TOA and hospitalized in our obstetrics and gynecology department between March 2014 and June 2019. Demographic, clinical, and laboratory data including white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were compared between the medical treatment group and the surgical intervention group. Logistic regression was used to determine the independent predictors of treatment failure.Results: Patient age, TOA diameter, WBC count, CRP, and ESR were significantly different between the groups. On multiple regression analysis, significant correlations were identified between age (p = 0.001), ESR (p = 0.045), and failure of medical treatment. TOA diameter (p = 0.065) showed a borderline association with surgical intervention. The risk group was defined as the combination of factors producing a risk score > 2. The area under the curve (AUC) for the risk group (age >34.3 years, ESR > 45 mm/h, and TOA size > 5.9 cm) was 0.844. The sensitivity, specificity, accuracy, PPV, and NPV were 93.8%, 75%, 83.3%, 75%, and 93.8%, respectively.Conclusions: The risk of needing surgical intervention in TOA patients can be predicted using ESR in addition to age and TOA size as risk factors.

scholarly journals The prediction of surgical intervention in patients with tubo-ovarian abscess

2020 ◽  
Author(s):  
Jong Ha Hwang ◽  
Bo Wook Kim
Keyword(s):  
Treatment Failure ◽  
Medical Treatment ◽  
Surgical Intervention ◽  
Risk Group ◽  
Laboratory Data ◽  
Intervention Group ◽  
Area Under The Curve ◽  
Wbc Count ◽  
Sensitivity Specificity ◽  
Ovarian Abscess

Abstract Background: The prediction of antibiotic treatment failure is helpful to identify patients with a high likelihood of needing surgical treatment early in patients diagnosed with tubo-ovarian abscess (TOA). The aim of this study was to compare the clinical characteristics of patients with TOA) who responded to medical treatment and those who underwent surgical intervention due to medical treatment failure. Material and Methods: Electronic medical records were evaluated retrospectively to identify patients who were diagnosed with TOA and hospitalized in our obstetrics and gynecology department between March 2014 and June 2019. Demographic, clinical, and laboratory data including white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were compared between the medical treatment group and the surgical intervention group. Logistic regression was used to determine the independent predictors of treatment failure. Results: Patient age, TOA diameter, WBC count, CRP, and ESR were significantly different between the groups. On multiple regression analysis, significant correlations were identified between age ( p = 0.001), ESR ( p = 0.045), and failure of medical treatment. TOA diameter ( p = 0.065) showed a borderline association with surgical intervention. The risk group was defined as the combination of factors producing a risk score > 2. The area under the curve (AUC) for the risk group (age >34.3 years, ESR > 45 mm/h, and TOA size > 5.9 cm) was 0.844. The sensitivity, specificity, accuracy, PPV, and NPV were 93.8%, 75%, 83.3%, 75%, and 93.8%, respectively. Conclusions: The risk of needing surgical intervention in TOA patients can be predicted using ESR in addition to age and TOA size as risk factors.

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