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
References
Centers for Disease Control and Prevention (CDC). Pelvic Inflammatory Disease. Visitado 2011 Abr 12. Disponible en: http://www.cdc.gov/std/treatment/2010/pid.htm
Agudelo A, Montoya JG. Enfermedad pélvica Inflamatoria. En: Agudelo A, Montoya JG, editores. Infecciones propias de la mujer. Cali, Colombia: Feriva; p. 69-92.
Walker CK, Landers DV. Pelvic abscesses: new trends in management. Obstet Gynecol Surv 1991;46:615-24.
Gaitán H, Angel E, Medina M, de Vargas CI, Castañeda E. Diagnóstico de la enfermedad pélvica inflamatoria aguda y sus complicaciones en el Instituto Materno Infantil (IMI) de Santa Fé de Bogotá entre 19921993. Revista de la Facultad de Medicina Universidad Nacional de Colombia 1996;44:134-41.
Landers DV, Sweet RL. Current trends in the diagnosis and treatment of tuboovarian abscess. Am J Obstet Gynecol 1985;151:1098-110.
Ovalle A, Casanova A, Kakarieka E, de Jourdan F, Salgado K. Epidemiología, resultados clínicos y costos del tratamiento del absceso tubovárico, en un hospital público de Santiago. Rev Chil Obstet Ginecol 2008;73:374-80. >
Lareau SM, Beigi RH. Pelvic inflammatory disease and tubo-ovarian abscess. Infect Dis Clin North Am 2008;22:693-708.
Soper DE. Pelvic inflammatory disease. Obstet Gynecol 2010;116:419-28.
Daly JW. Pelvic abscess. En: Monif GRG, Baker DA, editores. Infectious diseases in obstetrics and gynecology. New york: The Parthenon Publishing Group; 2004. p. 894-902.
Mokdad C, Rozsnayi F, Delaunay F, Gregorczyk V, Auber M, Puscasiu L, et al. Surgical treatment of tubo-ovarian abscess occurring in deep endometriosis. Gynecol Obstet Fertil 2010;38:490-5.
Tanir HM, Hassa H, Ozalp S, Kaya M, Oge T. Pelvic abscess in intrauterine device users. Eur J Contracept Reprod Health Care 2005;10:15-8.
Hager WD, Eschenbach DA, Spence MR, Sweet RL. Criteria for diagnosis and grading of salpingitis. Obstet Gynecol 1983;61:113-4.
Pedowitz P, Bloomfield RD. Ruptured adnexal abscess (tuboovarian) with generalized peritonitis. Am J Obstet Gynecol 1964;88:721-9.
Kaplan AL, Jacobs WM, Ehresman JB. Aggressive management of pelvic abscess. Am J Obstet Gynecol 1967;98:482-7.
Rosen M, Breitkopf D, Waud K. Tubo-ovarian abscess management options for women who desire fertility. Obstet Gynecol Surv 2009;64:681-9.
Rivlin ME. Conservative surgery for adnexal abscess. J Reprod Med 1985;30:726-30.
Landers DV, Sweet RL. Tubo-ovarian abscess: contemporary approach to management. Rev Infect Dis 1983;5:876-84.
Dellenbach P, Muller P, Philippe E. Infections utero-annexielles aigues. Encycl Med Chir Gynecol 1972;470:A10.
Granberg S, Gjelland K, Ekerhovd E. The management of pelvic abscess. Best Pract Res Clin Obstet Gynaecol 2009;23:667-78.
Henry-Suchet J, Soler A, Loffredo V. Laparoscopic treatment of tuboovarian abscesses. J Reprod Med 1984;29:579-82.
Henr y-Suchet J. PID: clinical and laparoscopic aspects. Ann N Y Acad Sci 2000;900:301-8.
Reich H, McGlynn F. Laparoscopic treatment of tuboovarian and pelvic abscess. J Reprod Med 1987;32:747-52.
Raiga J, Denoix S, Canis M, Lebouedec G, Glowaczower E, Wattiez A, et al. Laparoscopic treatment of adnexal abscesses. A series of 39 patients. J Gynecol Obstet Biol Reprod (Paris) 1995;24:381-5.
Buchweitz O, Malik E, Kressin P, Meyhoefer-Malik A, Diedrich K. Laparoscopic management of tuboovarian abscesses: retrospective analysis of 60 cases. Surg Endosc 2000;14:948-50.
Yang CC, Chen P, Tseng JY, Wang PH. Advantages of open laparoscopic surger y over exploratory laparotomy in patients with tubo-ovarian abscess. J Am Assoc Gynecol Laparosc 2002;9:327-32.
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