Which treatment should we choose for tubo-ovarian abscesses? Results of an 8-year clinical training in a tertiary center

Objectives: Tubo-ovarian abscess (TOA) is inflammation of the pelvic organs, mainly originating from the lower genital tract and intestinal tract. Treatment options include antibiotic therapy, surgical drainage, and radiologically guided (interventional) drainage. In our study, we aimed to evaluate the treatment method to be chosen and thus to manage patients with tuba ovarian abscesses (TOAs) most accurately. Material and methods: This is a retrospective cohort study, and patients who applied to a tertiary center diagnosed with tuba ovarian abscess (TOA) were included. TOA size (cm), pre-treatment C-reactive protein (CRP) value, pre-treatment white blood cell (WBC) value, previous operation type, postoperative complication, and antibiotics used were screened. Results: 305 patients were included in the study, and medical treatment was applied to 140 patients, organ-sparing surgical drainage to 50 patients, and surgical treatment to 115 patients. TOA dimensions measured at the time of diagnosis were significantly lower in patients for whom only medical treatment was sufficient. Pre-treatment CRP levels, WBC levels, and length of stay were significantly lower in patients for whom only medical treatment was sufficient. There was no significant difference between the pre-and post-procedure CRP difference, antibiotics, and hospitalization time. Conclusions: Preferring minimally invasive treatment in cases requiring invasive treatment reduces the frequency of complications. Treatment of tuba ovarian abscesses (TOA) with minimally invasive methods will be more beneficial in terms of patient morbidity

EVALUATION OF BIOCHEMICAL HYPERANDROGENISM IN ADOLESCENT GIRLS WITH MENSTRUAL IRREGULARITIES

Background: The aim of this study was to evaluate fertility hormone levels in adolescent girls and ten years older women with menstrual irregularities and with or without polycystic ovaries on ultrasound examination

Is there Any Difference between the Patients with Primary Endometriomas and those with Recurrent Endometriomas?

Introduction: Repeated surgery for recurrent endometriomas is harmful to the ovarian reserve. The aim of the study was to identify predictive factors determining recurrence of endometriomas based on demographic and clinical characteristics

Diagnosis of placenta accreta with postpartum hemorrhage in the case of pregnancy termination

The placenta normally attaches to the uterine wall, however there is a condition that occurs where the placenta attaches itself too deeply into the uterine wall. This condition is known as placenta accreta, increta or percreta depending on the deepness of the placenta attachment. This study aimed to present the patient who induced with prostoglandin E2 (misoprostol) for 22 weeks intrauterine mort fetus and then hysterectomized because of atony and placenta accret

IS AMNIOTIC FLUID ANALYSIS DURING THE SECOND TRIMESTER A PREDICTOR FOR THE DETECTION OF PRETERM LABOR?

Objective: Premature activation of the hypothalamic-pituitary-adrenal axis due to stress can initiate preterm labor. Many mechanisms have been proposed to explain etiopathogenesis. The most important one is clinical and subclinical chorioamnionitis. We aimed to assess the possibility of early detection and prevention of preterm labor based on second trimester amniotic fluid analysis