Predictive factors for emergent surgical intervention in patients with ovarian endometrioma hospitalized for pelvic inflammatory disease: A retrospective observational study

被引:3
作者
Matsuyama, Reiko [1 ]
Tsuchiya, Akira [1 ]
Nishii, Osamu [1 ]
机构
[1] Teikyo Univ, Sch Med, Dept Obstet & Gynecol, Univ Hosp, Kawasaki, Kanagawa, Japan
关键词
intrapelvic procedure; laparoscopy; ovarian abscess; ovarian endometrioma; pelvic inflammatory disease; WOMEN; MANAGEMENT;
D O I
10.1111/jog.13513
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
AimThe aim of this study was to identify predictive factors for emergent surgical interventions in patients with ovarian endometriomas hospitalized for pelvic inflammatory disease (PID). MethodsWe retrospectively identified 22 patients with ovarian endometriomas who were hospitalized to manage PID. Patients were divided into two groups: those who required emergent surgery after failed antibiotic therapy (emergent surgery group, n=6) and those who were discharged with successful antibiotic therapy (conservative group, n=16). Logistic regression analysis was performed to analyze the factors associated with emergent surgery. ResultsPatients in the emergent surgery group were significantly more likely to have intrauterine or intrapelvic procedures before the onset of PID compared to those in the conservative group (83% vs 38%, odds ratio 8.33, 95% confidence interval 1.02-181.3; P=0.048). The mean interval between the onset of PID symptoms and the commencement of parenteral antibiotic therapy was significantly longer in the emergent surgery compared to the conservative group (6.5 vs 1day, odds ratio 1.28, 95% confidence interval 1.01-1.75; P=0.041). ConclusionA history of an intrauterine or intrapelvic procedure before the onset of PID was more likely to result in emergent surgery. A longer interval between the onset of PID symptoms and the commencement of parenteral antibiotics was also associated with emergent surgery. These findings could help to identify patients with ovarian endometriomas hospitalized with PID at higher risk of emergent surgical intervention.
引用
收藏
页码:286 / 291
页数:6
相关论文
共 8 条
[1]   Increased occurrence of tubo-ovarian abscesses in women with stage III and IV endometriosis [J].
Chen, MJ ;
Yang, JH ;
Yang, YS ;
Ho, HN .
FERTILITY AND STERILITY, 2004, 82 (02) :498-499
[2]   Endometriomas as a possible cause of reduced ovarian reserve in women with endometriosis [J].
Kitajima, Michio ;
Defrere, Sylvie ;
Dolmans, Marie-Madeleine ;
Colette, Sebastien ;
Squifflet, Jean ;
Van Langendonckt, Anne ;
Donnez, Jacques .
FERTILITY AND STERILITY, 2011, 96 (03) :685-691
[4]   Tubo-Ovarian Abscess Management Options for Women Who Desire Fertility [J].
Rosen, Mitchell ;
Breitkopf, Dan ;
Waud, Kay .
OBSTETRICAL & GYNECOLOGICAL SURVEY, 2009, 64 (10) :681-689
[5]   Endometriosis as a detrimental condition for granulosa cell steroidogenesis and development: From molecular alterations to clinical impact [J].
Sanchez, Ana Maria ;
Somigliana, Edgardo ;
Vercellini, Paolo ;
Pagliardini, Luca ;
Candiani, Massimo ;
Vigano, Paola .
JOURNAL OF STEROID BIOCHEMISTRY AND MOLECULAR BIOLOGY, 2016, 155 :35-46
[6]   Risks of conservative management in women with ovarian endometriomas undergoing IVF [J].
Somigliana, Edgardo ;
Benaglia, Laura ;
Paffoni, Alessio ;
Busnelli, Andrea ;
Vigano, Paola ;
Vercellini, Paolo .
HUMAN REPRODUCTION UPDATE, 2015, 21 (04) :486-499
[7]   Factors that predict poor clinical course among patients hospitalized with pelvic inflammatory disease [J].
Terao, Miyoko ;
Koga, Kaori ;
Fujimoto, Akihisa ;
Wada-Hiraike, Osamu ;
Osuga, Yutaka ;
Yano, Tetsu ;
Kozuma, Shiro .
JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2014, 40 (02) :495-500
[8]  
Workowski KA., 2021, MMWR RECOMM REP, V70, P1