A Comparison between two surgical methods in the treatment of T.O.A.

Pelvic abcess is one of the most dangerous & distressfull gynecologic disorders, that causes controversy among authors for treatment methods. This comparative study was performed in the aim of evaluation af laparoscopy & laparotomy methods in the T.O.A. (tubo- ovarian-abcess) Meterial & 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. 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. 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.