title: [Endoscopic organ saving therapy of ascending infection--10 years experience at the Berlin-Neukölln Gynecologic Clinic].
abstract: In the treatment of ascending infection, a newly developed endoscopic surgery concept was combined with an intraoperative lavage and a 48-hour postoperative peritoneal lavage. 276 patients suffering from all grades of severity of disease were primarily treated between 1980 and 1989 by endoscopic surgery while preserving the genitalia. The primary therapy failed in 20 cases (7.2%) so that another surgical intervention became necessary. 4 patients were then treated finally by means of a second laparoscopy. The remaining 16 patients (5.8%) had to undergo laparotomy and partial or complete resection of the reproductive organ had to be performed. Early endoscopic therapy with peritoneal lavage enabled complete preservation of the genitalia in 259 cases (93.8%). The duration of in-patient treatment was reduced to two weeks.
authors: Abteilung für Gynäkologie, Frauenklinik des Krankenhauses Berlin-Neukölln.
authors: D
authors: D
authors: Raatz
authors: F
authors: F
authors: Dressler
authors: R
authors: R
authors: Zöckler
authors: C
authors: C
authors: von Widekind
mesh_terms: D000038:Abscess / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D000292:Pelvic Inflammatory Disease / Q000601:surgery*; D010533:Peritoneal Lavage / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D000267:Tissue Adhesions / Q000601:surgery
vernacular_title: Die endoskopische organerhaltende Therapie der aszendierenden Infektion--10jährige Erfahrung in der Frauenklinik Berlin-Neukölln.