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A Comparison between two surgical methods in the treatment of T.O.A.
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Sh. Chaichian M.D   , A.Mehdizadeh,MD , A.R. Akbarian M.D |
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Abstract: (25462 Views) |
Introduction: Pelvic abcess is one of the most dangerous & distressfull gynecologic disorders , that causes controversy among authors for treatment methods.
Objectives: This comparative study was performed in the aim of evaluation af laparoscopy & laparotomy methods in the T.O.A. (tubo- ovarian-abcess)
Meterial & methods: This was a prospective controlled new method evaluation study, that porformed on patients who needed surgery for treatment of T.O.A. during 8 years since 1995 till 2002 at Rasoul Akram Hospital.
Findings: In this study 22 women underwent surgery. Surgical method selected on the basis of patients age, symptoms , signs & findingss during therapy. It was no difference between two groups from the standpoint of antibiotictherapy. In laparoscopy group mean duration of addmission was 2 days shorter than laparatomy group . 80% of genital organs preserved in laparoscopy group . chronic pelvic pain Persisted 2 years after operation in 39% of patients of laparotomy group and only in 27% of patients in laparoscopy group.
Conclusion : From prsent & other studies we can conclude that laparoscopy for the treatment of T.O.A. specially in younger patients is a very good choice & perhaps it will be the standard method of surgery for preserving of fertility abilities in these patients at the near future. |
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| Keywords: Laparatomy, Laparoscopy, pelvic Abcess, T.O.A. (Tubo–Ovarian Abcess). |
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Full-Text [PDF 133 kb]
(4056 Downloads)
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Subject:
Gynecology
Received: 2006/09/6 | Accepted: 2013/12/17 | Published: 2013/12/17
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