August 9th, 2022

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Laparoscopic Drainage of Complex Pelvic Abscesses
Authors:  Su-fen Liu, M.M., Ru-xia Shi, M.B.B.S., Li-bing Liu, M.M., Han-dan Hua, M.M., and He Yang, M.M.
  OBJECTIVE: To investigate the safety and clinical outcomes of laparoscopic drainage for severe pelvic abscess.

STUDY DESIGN: The study included 30 patients with severe pelvic abscesses treated by laparoscopic drainage between January 2012 and January 2015 in the Department of Gynecology, the Second People’s Hospital of Changzhou.

RESULTS: The patients’ mean age was 35±4.3 years. The mean size of their pelvic abscesses was 7.8±2.3 cm. All 30 patients experienced antibiotic treatment failure, 15 patients (50%) suffered ruptured abscess spontaneously, 3 patients (10%) were suffering from toxic shock syndrome, and 6 patients (20%) had experienced attempted drainage failure. The mean bleeding volume during the operation was 50.8±23.6 mL, the average operating time was 65±23.8 min, and the mean hospitalization time was 8±2.2 days. All of the patients were completed successfully without conversion to laparotomy. Two years after the operation, 8/30 (26.7%) patients had chronic pelvic pain, 4/30 (13.3%) were struggling with infertility, and 2/30 (6.67%) had experienced a subsequent ectopic pregnancy.

CONCLUSION: Our study shows that laparoscopic drainage is safe with good efficacy for complex pelvic and abdominal abscesses.
Keywords:  abdominal abscess; drainage; inflammatory disease; MRI; magnetic resonance imaging; pelvic abscess; pelvic inflammatory disease; ultrasonography, interventional
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