[Acute salpingitis. Celioscopy before and after treatment: 110 cases].
The authors report their experience concerning 110 cases of acute salpingitis that were diagnosed and controlled laparoscopically one month after antibiotic treatment had been achieved. During the second look laparoscopy three parameters were appreciated: pelvic adhesions, tubal patency, and residual inflammation. Laparoscopic findings at the time of early second look have shown relationship between the occurrence of tubal sequelae and the seriousness of initial PID: the relation was statistically significant regarding pelvic adhesions and tubal patency. Chlamydia trachomatis infections were associated with a poorer reproductive potential outcome. Second look laparoscopy seems particularly indicated after severe form of PID (pyosalpinx, tubo-ovarian abscess), in the presence of Chlamydia trachomatis, among young nulliparous woman wishing to conceive.
Le Bouëdec
G
G
Polyclinique de Gynécologie, Obstétrique, Médecine de la Reproduction, CHRU Clermont-Ferrand, Université Clermont-Ferrand I.
Pouly
J L
JL
Canis
M
M
Wattiez
A
A
Abbas
B
B
Mage
G
G
Bruhat
M A
MA
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000592:standards; D011446:Prospective Studies; D012488:Salpingitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D012720:Severity of Illness Index
D000900:Anti-Bacterial Agents
Salpingites aiguës. Coelioscopie avant et après traitement: 110 cas.