Progress in the management of tuboovarian abscesses

H. C. Wiesenfeld, Richard L Sweet

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

The last 20 years have witnessed remarkable improvements in the treatment of tuboovarian abscesses. Gone are the days of significant mortality associated with ruptured and unruptured TOAs. Broad-spectrum antibiotics have enabled patients to be treated solely with medical therapy, avoiding the need for surgery. Operative intervention is still necessary in 25% of cases of unruptured TOAs, but the combination of conservative surgical procedures, such as unilateral salpingo-oophorectomy, and broad-spectrum antimicrobial agent therapy have reduced the need for total abdominal hysterectomy with bilateral salpingo-oophorectomy greatly. Although fertility after TOAs is compromised significantly, new advances in reproductive technology, including in vitro fertilization and donor egg transplantation, represent reproductive options for these women. Percutaneous drainage and laparoscopic treatment of TOAs are becoming popular treatment options, but prospective studies urgently are needed to assess their efficacy.

Original languageEnglish (US)
Pages (from-to)433-444
Number of pages12
JournalClinical Obstetrics and Gynecology
Volume36
Issue number2
StatePublished - 1993
Externally publishedYes

Fingerprint

Abscess
Ovariectomy
Reproductive Techniques
Therapeutics
Fertilization in Vitro
Anti-Infective Agents
Hysterectomy
Ovum
Fertility
Drainage
Transplantation
Tissue Donors
Prospective Studies
Anti-Bacterial Agents
Mortality

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Progress in the management of tuboovarian abscesses. / Wiesenfeld, H. C.; Sweet, Richard L.

In: Clinical Obstetrics and Gynecology, Vol. 36, No. 2, 1993, p. 433-444.

Research output: Contribution to journalArticle

@article{143909c6041c4c8382e0d1a5f8b96f1b,
title = "Progress in the management of tuboovarian abscesses",
abstract = "The last 20 years have witnessed remarkable improvements in the treatment of tuboovarian abscesses. Gone are the days of significant mortality associated with ruptured and unruptured TOAs. Broad-spectrum antibiotics have enabled patients to be treated solely with medical therapy, avoiding the need for surgery. Operative intervention is still necessary in 25{\%} of cases of unruptured TOAs, but the combination of conservative surgical procedures, such as unilateral salpingo-oophorectomy, and broad-spectrum antimicrobial agent therapy have reduced the need for total abdominal hysterectomy with bilateral salpingo-oophorectomy greatly. Although fertility after TOAs is compromised significantly, new advances in reproductive technology, including in vitro fertilization and donor egg transplantation, represent reproductive options for these women. Percutaneous drainage and laparoscopic treatment of TOAs are becoming popular treatment options, but prospective studies urgently are needed to assess their efficacy.",
author = "Wiesenfeld, {H. C.} and Sweet, {Richard L}",
year = "1993",
language = "English (US)",
volume = "36",
pages = "433--444",
journal = "Clinical Obstetrics and Gynecology",
issn = "0009-9201",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Progress in the management of tuboovarian abscesses

AU - Wiesenfeld, H. C.

AU - Sweet, Richard L

PY - 1993

Y1 - 1993

N2 - The last 20 years have witnessed remarkable improvements in the treatment of tuboovarian abscesses. Gone are the days of significant mortality associated with ruptured and unruptured TOAs. Broad-spectrum antibiotics have enabled patients to be treated solely with medical therapy, avoiding the need for surgery. Operative intervention is still necessary in 25% of cases of unruptured TOAs, but the combination of conservative surgical procedures, such as unilateral salpingo-oophorectomy, and broad-spectrum antimicrobial agent therapy have reduced the need for total abdominal hysterectomy with bilateral salpingo-oophorectomy greatly. Although fertility after TOAs is compromised significantly, new advances in reproductive technology, including in vitro fertilization and donor egg transplantation, represent reproductive options for these women. Percutaneous drainage and laparoscopic treatment of TOAs are becoming popular treatment options, but prospective studies urgently are needed to assess their efficacy.

AB - The last 20 years have witnessed remarkable improvements in the treatment of tuboovarian abscesses. Gone are the days of significant mortality associated with ruptured and unruptured TOAs. Broad-spectrum antibiotics have enabled patients to be treated solely with medical therapy, avoiding the need for surgery. Operative intervention is still necessary in 25% of cases of unruptured TOAs, but the combination of conservative surgical procedures, such as unilateral salpingo-oophorectomy, and broad-spectrum antimicrobial agent therapy have reduced the need for total abdominal hysterectomy with bilateral salpingo-oophorectomy greatly. Although fertility after TOAs is compromised significantly, new advances in reproductive technology, including in vitro fertilization and donor egg transplantation, represent reproductive options for these women. Percutaneous drainage and laparoscopic treatment of TOAs are becoming popular treatment options, but prospective studies urgently are needed to assess their efficacy.

UR - http://www.scopus.com/inward/record.url?scp=0027161726&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027161726&partnerID=8YFLogxK

M3 - Article

C2 - 8513637

AN - SCOPUS:0027161726

VL - 36

SP - 433

EP - 444

JO - Clinical Obstetrics and Gynecology

JF - Clinical Obstetrics and Gynecology

SN - 0009-9201

IS - 2

ER -