Abstract

Objective: Our primary objective in this study was to evaluate whether the size of the abscess affects clinical or laboratory results; also to evaluate efficacy and safety of laparascopy in surgical treatment.
Material and Method: 42 patients diagnosed as having tuboovarian abscess (TOA) who did not respond to medical treatment and underwent laparascopic surgery in last 18 monhts in our clinic were retrospectively analysed.
Results: Mean age of patients was 38.7 years. 16.6% of those were postmenopausal and 14.2% had intrauterine device. Fever above 38 degrees celcius, c-reactive protein (CRP), erithrocyte sedimentation rate, leukocyte count were significantly higher in the group of patients who had abscesses over 7 centimeters. Only one patient had thermal urether injury, none needed secondary operation.
Conclusion: Laparascopy is a very efficient and safe way in surgical treatment of tuboovarian abscess in surgically-experienced centers

Key words: Tuboovarian abscess, laparascopy, CRP, erithrocyte sedimetation rate