title: [Organ preserving endosurgery in pyosalpingitis].
abstract: Pyosalpinges are a difficult therapeutic problem in a complicated pelvic inflammatory disease. To avoid a diffuse peritonitis, often a laparotomy with salpingectomy is performed. 20 women of reproductive age with a uni- or bilateral pyosalpinx were incorporated in a prospective study to investigate the possibilities of a combined endosurgical/antibiotical treatment. After endoscopic confirmation, the patients were taken into study. During diagnostic laparoscopy, a salpingotomy with rinsing of the tubes and a drainage of the Douglas pouch took place. After one week of antibiotic treatment, a second-look laparoscopy was performed in all patients; no recurrence was documented. The combination of endosurgery and chemotherapy showed to be a safe and efficient therapy of tubal abscesses in women of reproductive age.
authors.affiliation: Frauenklinik des Pius Hospitales Oldenburg, Georg-August-Universität Göttingen.
authors.forename: R
authors.initials: R
authors.lastname: De Wilde
authors.forename: M
authors.initials: M
authors.lastname: Hesseling
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001424:Bacterial Infections / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D000292:Pelvic Inflammatory Disease / Q000601:surgery*; D011247:Pregnancy; D011446:Prospective Studies; D012488:Salpingitis / Q000601:surgery*; D012489:Salpingostomy
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Organerhaltende Endochirurgie der Pyosalpingen.