title: [Laparoscopic treatment of adnexal abscesses. A series of 39 patients].
abstract: 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.
authors.affiliation: Centre Jean-Perrin, CHU Hôtel-Dieu, Clermont-Ferrand.
authors.forename: J
authors.initials: J
authors.lastname: Raiga
authors.forename: S
authors.initials: S
authors.lastname: Denoix
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: G
authors.initials: G
authors.lastname: Lebouedec
authors.forename: E
authors.initials: E
authors.lastname: Glowaczower
authors.forename: A
authors.initials: A
authors.lastname: Wattiez
authors.forename: J L
authors.initials: JL
authors.lastname: Pouly
authors.forename: G
authors.initials: G
authors.lastname: Mage
authors.forename: H
authors.initials: H
authors.lastname: Manhès
authors.forename: M A
authors.initials: MA
authors.lastname: Bruhat
mesh_terms: 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
vernacular_title: Traitement coelioscopique des abcès annexiels. A propos d'une série de 39 patientes.