Document Detail

Ruptured tuboovarian abscess. Is hysterectomy necessary?
MedLine Citation:
PMID:  909655     Owner:  NLM     Status:  MEDLINE    
The use of conservative pelvic surgery combined with intra- and postoperative antibiotic peritoneal lavage has been evaluated in 113 women with generalized peritonitis due to ruptured tuboovarian abscess. Mortality was 7.1% and hysterectomy was only required in 3% of cases. Hormonal and menstrual functions were retained in 73.5% and the potential for future pregnancy in 42.5%. Further surgery was required in 17.5% of the patients. These results are contrasted with recent series of comparable size in which the mortality and morbidity were similar but the frequency of hysterectomy ranged from 70--100%. It is concluded that hysterectomy is not necessary in the management of ruptured tuboovarian abscess if the major source of sepsis is removed and adequate peritoneal drainage is provided by the use of lavage.
M E Rivlin; J A Hunt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  50     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1977 Nov 
Date Detail:
Created Date:  1977-11-30     Completed Date:  1977-11-30     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  518-22     Citation Subset:  AIM; IM    
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MeSH Terms
Abscess / microbiology,  mortality,  surgery*
Adnexal Diseases / mortality,  surgery
Colonic Diseases / etiology
Fallopian Tubes / microbiology,  surgery*
Hysterectomy / utilization*
Intestinal Fistula / etiology
Intestines / injuries
Ovarian Diseases / microbiology,  mortality,  surgery*
Postoperative Complications
Rupture, Spontaneous
South Africa

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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