| Ruptured tuboovarian abscess. Is hysterectomy necessary? | |
| | |
MedLine Citation:
|
PMID: 909655 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
M E Rivlin; J A Hunt |
Related Documents
:
|
11818035 - Laparoscopic management of fallopian tube prolapse masquerading as adenocarcinoma of th... 12592065 - Does the introduction of new technology change population demographics? minimally invas... 17938945 - Comparison of total laparoscopic, vaginal and abdominal hysterectomy. 17625415 - Total laparoscopic hysterectomy: indications, techniques and outcomes. 10551745 - Minimally invasive endoscopic video-assisted in situ bypass: first 15 cases. 20236635 - Epidermal inclusion cyst of the clitoris 30 years after female genital mutilation. |
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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abscess
/
microbiology,
mortality,
surgery* Adnexal Diseases / mortality, surgery Adult Colonic Diseases / etiology Fallopian Tubes / microbiology, surgery* Feces Female Humans Hysterectomy / utilization* Intestinal Fistula / etiology Intestines / injuries Ovarian Diseases / microbiology, mortality, surgery* Postoperative Complications Pregnancy Rupture, Spontaneous South Africa |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Elective appendectomy with abdominal and pelvic surgery.
Next Document: Clinicoepidemiologic study of uterine cancer. Comparative aspects of the endometrial and cervical si...