[Laparoscopic treatment of adnexal abscesses. A series of 39 patients].
OBJECTIVE
Evaluate short- and long-term follow-up of patients treated by laparoscopy and antibiotherapy for tubo-ovarian abscess.


METHODS
We report a retrospective study of 39 patients treated from January 1983 to December 1992. Clinical files were examined and a questionnaire was mailed to patients.


RESULTS
None of the patients needed to be reoperated for failure of the first laparoscopic treatment. A laparoscopic control after 3 month was done in 35 cases, which allowed complete adhesiolysis in every patients. We performed distal tubal surgery in 17 patients at that time and oriented 6 patients directly towards IVF. Subsequent fertility, in 19 patients followed without contraception, demonstrated a rate of spontaneous intra-uterine pregnancy of 63%.


CONCLUSIONS
This study confirms that laparoscopy remains the technique of choice in initial management of adnexal abscesses.
Raiga
J
J
Centre Jean-Perrin, CHU Hôtel-Dieu, Clermont-Ferrand.
Denoix
S
S
Canis
M
M
Lebouedec
G
G
Glowaczower
E
E
Wattiez
A
A
Pouly
J L
JL
Mage
G
G
Manhès
H
H
Bruhat
M A
MA
D000038:Abscess / Q000175:diagnosis / Q000601:surgery*; D000291:Adnexal Diseases / Q000175:diagnosis / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005184:Fallopian Tube Diseases / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010049:Ovarian Diseases / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome; D012086:Reoperation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
Traitement coelioscopique des abcès annexiels. A propos d'une série de 39 patientes.