What is a good way to treat female pelvic peritonitis?

The pelvic peritonium is a wall membrane of the pelvic cavity of the female reproductive organs. Female pelvic peritonitis is a type of inflammation of the female reproductive organs, which brings great harm to women's health. So what is a good way to treat female pelvic peritonitis?

Experts say that there are three main methods for treating this type of gynecological pelvic inflammatory disease: general treatment, antibiotic treatment and surgical treatment. Let's take a look at them together:

1. General treatment

All patients should rest in bed and take a semi-recumbent position to facilitate the accumulation of exudate or pus in the pelvic cavity, thereby limiting the inflammation. Adequate nutrition and fluid input should be given, and electrolyte disorders and acid-base imbalances should be corrected. Physical cooling can be used when effective. For patients with severe abdominal distension, gastrointestinal decompression can be given. Reduce unnecessary gynecological examinations to avoid the spread of inflammation. This is how to treat pelvic peritonitis. Common treatment methods.

2. Antibiotic Treatment

Patients with acute pelvic peritonitis should undergo bacterial culture of cervical secretions or posterior fornix puncture fluid, or blood culture and drug sensitivity test, and select effective antibiotics based on this. When the pathogen is unclear, gentamicin plus metronidazole can be used, which is effective against Escherichia coli and anaerobic bacteria. The specific usage is gentamicin 80,000 U, twice a day, intramuscular injection, 0.2% metronidazole 500 ml once a day, intravenous drip. You can also use 2.4 grams of Ansitrol, add liquid to intravenous drip, once a day, and take Ansitrol tablets 0375 in the evening to enhance the efficacy; in addition, vancomycin B, Clavula, erythromycin, fosfomycin sodium, etc. can all be used. When the results of bacterial culture and drug sensitivity test are detected, it should be decided whether to replace the antibiotic based on the results of the drug sensitivity test and the efficacy of the first selected antibiotic. Those with generally good efficacy can be replaced, and those with insignificant efficacy after 3 to 4 days of medication should be replaced in time.

3. Surgical treatment

1. Incision and drainage: When pelvic peritonitis causes abscess formation and the abscess reaches the pelvic floor, incision and drainage can be performed through the posterior fornix. However, since the abscess is located in the abdominal cavity, drainage can only temporarily relieve symptoms and often cannot cure the disease.

2. Laparotomy to remove the lesion: When a pelvic abscess forms and ruptures, laparotomy can be performed to remove the lesion while controlling the infection with a large amount of antibiotics. This is the most effective and rapid method.

For more questions about "How to treat pelvic peritonitis", you can choose to consult experts online.