Can pelvic peritonitis be cured?

Pelvic peritonitis brings great pain to women, and this disease is prone to recurrence, so it has a great impact on patients and makes them suffer. Therefore, if you want to avoid the occurrence of the disease, you must treat it in time. So, what is the specific treatment for pelvic peritonitis? The following editor will introduce it to you.

1. Surgical treatment

(1) Ineffective drug treatment: If the body temperature of a fallopian tube, ovarian abscess or pelvic abscess does not drop after 48 to 72 hours of drug treatment, or if the patient's poisoning symptoms worsen or the mass increases in size, surgery should be performed promptly to avoid abscess rupture.

(2) Persistent abscess: If the condition improves after drug treatment and the inflammation is controlled for several days (2 to 3 weeks), but the mass has not disappeared but has become localized, it should be surgically removed to avoid another acute attack in the future or the formation of chronic pelvic peritonitis.

(3) Abscess rupture: Sudden worsening of abdominal pain, chills, high fever, nausea, vomiting, abdominal distension, refusal to press the abdomen, or signs of toxic shock should be suspected of abscess rupture. If abscess rupture is not diagnosed and treated in time, the mortality rate is high. Therefore, once abscess rupture is suspected, laparotomy should be performed immediately while treating with antibiotics.

The surgery can be performed by abdominal surgery or laparoscopic surgery according to the situation. The scope of the surgery should be comprehensively considered based on the scope of the lesion, the patient's age, and the general condition. The principle is to remove the lesion. Young women should try to preserve ovarian function and use conservative surgery as the main method; for older women, those with bilateral adnexal involvement or repeated adnexal abscesses, total hysterectomy and bilateral adnexectomy should be performed; the scope of surgery for extremely weak and critically ill patients with pelvic peritonitis should be determined according to the specific situation. If the pelvic abscess is located low and protrudes into the posterior vault of the vagina, it can be incised and drained through the vagina, and antibiotics can be injected at the same time.

2. Physical therapy

What is the specific treatment for pelvic peritonitis? Warm benign stimulation can promote local blood circulation in the pelvic cavity. It can improve the nutritional status of tissues and increase metabolism, which is conducive to the absorption and disappearance of inflammation. Commonly used methods include short wave, ultrashort wave, ion penetration (various drugs such as penicillin, streptomycin, etc. can be added), wax therapy, etc. Traditional Chinese medicine also has the method of Chinese medicine packing and stain treatment.

3. Psychotherapy

General treatment can relieve the mental concerns of patients with pelvic peritonitis, enhance their confidence in treatment, increase nutrition, exercise, pay attention to the combination of work and rest, and improve the body's resistance.

4. Drug treatment

Antibiotics are the main treatment for acute pelvic peritonitis, including intravenous infusion, intramuscular injection or oral administration. Broad-spectrum antibiotics should be used in combination with anti-anaerobic drugs, and attention should be paid to the duration of treatment. It can also be combined with traditional Chinese medicine treatment to achieve better results.

What is the specific treatment for pelvic peritonitis? The above is what the editor has introduced to you, and I hope it will be helpful to you. I hope you will pay more attention to your health in normal times. Once the symptoms of this disease appear, you should go to the hospital for diagnosis and treatment in time to avoid delaying the best treatment time, aggravating your disease, and suffering greater pain.