|
KMID : 0386019930050010029
|
|
Korean Journal of Gynecology Endoscopy and Minimally Invasive Surgery
1993 Volume.5 No. 1 p.29 ~ p.30
|
|
|
Pelviscopic Management of Pelvic Inflammatory Disease with Abscess Formation as a New Alternative Surgical Approach
|
|
|
|
|
Abstract
|
|
|
The incidence of pelvic abscess is expected to increase as a result of the rising incidence of sexually transmitted disease and there sequeale. Approximately 20% of women who have had acute salpingitis are infertile, and´ among those who conceive there is sixfold to tenfold increased risk of ectopic pregnancy.
There is considerable controversy about the management of tuboovarian abscesses(TOA), a known complication of acute salpingitis.
The general trend in recent years has been to treat an pelvic abscess with intravenous antibiotics and to intervene surgically only when it appears that the patient is not responding, to the antibiotics or is suspicious of rupture. However, Complications of laparotomy of pelvic abscess are serious. It is time to seek a better approach than laparotomy or medical treatment.
From Sep.1992 until March 1993, of 20 women pelvic inflammatory disease with abcess formation were treated at Chung-Ang University Hospital.
The results are as follows
1) Eighteen of 20 women(90 %) treated for pelvic abscess had complete resolution of abscess and rapid recovery
2) Early laparoscopic surgery was performed in 15 patients. The average operation time was 60 minutes and the average length of the post pelviscopic hospital syay was 6.5 days and there after patients was treated with antibiotics at out patients department.
3) Late pelviscopic surgery was performed in 5 patients. The average operation time was 180 minutes and the average length of hospital stay was 14 days. Severe adhesions were found in all patients.
4) No pelviscopic complications occurred but 2 cases was done by laparoton y due tosevere adhesion of pelvic organ. obscure anatomical structure.
In conclusion.´ the treatment of choice for pelvic abscess may be a combination of intrave nous antibiotics and an early pelviscopic surgical procedure.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|