Laparoscopic management of severe pelvic inflammatory disease: a report of three cases and a literature review
DOI:
https://doi.org/10.18597/rcog.246Keywords:
pelvic inflammatory disease, pelvic abscess, tubo-ovarian abscess, laparoscopyAbstract
Objective: carrying out a literature review about the usefulness of laparoscopy in treating tuboovarian abscesses in terms of improvement, hospital stay and subsequent fertility.
Materials and methods: three cases of patients suffering from severe pelvic inflammatory disease are presented; they consulted at a private reference institution in Medellín, Colombia, and were then submitted to laparoscopy, accompanied by parenteral antibiotics as management. A search was made in the Medline database via PubMed using the following key words: “tubo-ovarian abscess, treatment, laparoscopy, fertility.” A search was also made in classical texts on the subject and management guidelines.
Results: 49 pertinent articles were found, of which 13 were relevant to the matter in hand; 8 were review articles, 4 were case-series and 1 was a retrospective cohort study.
Conclusion: conservative laparoscopic management of tubo-ovarian abscess during the disease’s initial period, accompanied by the appropriate antibiotic regime, emerged as an alternative which could improve short- and long-term results. High-quality studies are thus needed to confirm such observation.
Author Biographies
Gustavo Adolfo Calle-Gómez
Adriana María Arango-Martínez
Juan David Castañeda-Roldán
José Fernando De los Ríos-Posada
Eduardo Serna
Ricardo Vásquez
Luis Alberto Jiménez-Zuluaga
Antonio González
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