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Pelvic abscess in gynecologic patients
Summary
Pelvic abscesses in obstetrics and gynecology patients require surgical treatment. A combination of metronidazole and antibiotics is recommended for effective management, even without lab confirmation of anaerobic bacteria.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Surgical Treatment
Background:
- Pelvic abscesses are a significant complication in obstetrics and gynecology.
- A review of 37 cases over an 8-year period was conducted at a Nigerian hospital.
Purpose of the Study:
- To analyze the incidence and outcomes of pelvic abscesses.
- To recommend an effective treatment regimen for pelvic abscesses.
Main Methods:
- Retrospective survey of 37 surgically treated pelvic abscess cases.
- Analysis of postoperative outcomes.
Main Results:
- 37 cases of pelvic abscess were identified and surgically treated.
- One postoperative death occurred, indicating a 97.3% survival rate.
- A treatment regimen of metronidazole (400 mg TID) plus antibiotics was effective.
Conclusions:
- Surgical intervention is crucial for managing pelvic abscesses.
- Metronidazole combined with antibiotics is the recommended treatment, effective even without anaerobic confirmation.
- This regimen offers a high survival rate for patients with pelvic abscess.