What are the methods of Western medicine for treating pelvic peritonitis?

Pelvic peritonitis is a common disease that often affects people's daily lives, so people should treat pelvic peritonitis in a timely manner. So, how to treat pelvic peritonitis? The following editor will introduce the treatment methods of pelvic peritonitis. I hope the following content can be helpful to everyone.

Treatment of pelvic peritonitis

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 infusion should be given, and electrolyte disorders and acid-base imbalances should be corrected. Physical cooling can be used when effective. Gastrointestinal decompression can be given for patients with severe abdominal distension. Unnecessary gynecological examinations should be reduced to avoid the spread of inflammation.

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 choose 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, the decision on whether to change the antibiotic should be made based on the results of drug sensitivity test and the efficacy of the first selected antibiotic. Generally speaking, if the efficacy is good, it can be left unchanged, but if the efficacy is not significant after 3 to 4 days of medication, it should be changed in time.

3. Surgical treatment

1. Incision and drainage: When pelvic peritonitis causes abscess formation and the abscess has reached 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 large amounts of antibiotics. This is the most effective and rapid method.

To sum up, the above content describes the treatment methods of pelvic peritonitis, which can help people better treat pelvic peritonitis. Patients with pelvic peritonitis should also choose appropriate treatment methods and avoid eating spicy and irritating foods.