RESUMEN
OBJECTIVE: To compare intraoperative and postopera- tive surgical outcomes of robotic versus abdominal myo- mectomy. STUDY DESIGN: A retrospective chart review was performed using electronic medical records from Janu- ary 1, 2008-December 31, 2011, with 2008 being the first year that robotic- assisted myomectomy was performed at our institution. Intraoperative outcome data and postoperative complica- tions were reviewed as well as length of hospital stay. RESULTS: A total of 214 abdominal myomectomy cases and 165 robotic-assisted laparoscopic cases were available for review. Total operating time in minutes.was significantly longer for the robotic-assisted cases (236 ± 96) versus the abdom- inal cases (110 ± 46). Total myoma weight in grams removed was significantly greater in the abdominal myo- mectomy cases (391 ± 518) versus the robot-assisted- cases (229 ± 253). Length of stay in days was longer for abdominal cases as compared to robotic (3.3 ±1.2 vs. 1.6 ± 1). Estimated blood loss in milliliters was similar between abdominal and robotic cases (258 ± 335' vs. 241± 370). CONCLUSION: Robotic-assisted and abdominal myo- mectomies have similar surgical outcomes. However, the longer total operating time for robotic-assisted myomec- tomies is a drawback which may not be completely offset by the benefit of a shorter hospital stay.
Asunto(s)
Laparoscopía , Procedimientos Quirúrgicos Robotizados , Miomectomía Uterina/métodos , Adulto , Pérdida de Sangre Quirúrgica/estadística & datos numéricos , Femenino , Humanos , Leiomioma/cirugía , Tiempo de Internación/estadística & datos numéricos , Tempo Operativo , Estudios Retrospectivos , Neoplasias Uterinas/cirugíaRESUMEN
Tubo-ovarian abscess (TOA) is a common acute complication of pelvic inflammatory disease (PID). It can also develop as a complication of pelvic or abdominal surgery, malignancy, and intra-abdominal processes such as appendicitis. In premenopausal women, PID is the most common cause of tubo-ovarian abscess. We report a case of tubo-ovarian abscess in a virginal adolescent female with no past surgical history and no known history of appendicitis, inflammatory bowel disease, or cancer. Cultures of the tubo-ovarian abscess drainage grew Abiotrophia/Granulicatella species. This case supports including TOA in the broad differential diagnosis for abdominal pain with fever in adolescent females regardless of sexual history.