Indications for surgical treatment of pelvic inflammatory disease

There are many ways to treat pelvic inflammatory disease. In addition to conventional drug treatment, surgical treatment can also be adopted. The surgical indications are as follows.

1. Drug treatment is ineffective

If patients with pelvic inflammatory disease develop fallopian tube and ovarian abscesses or pelvic pus, and drug treatment has no effect after 48 to 72 hours, and the body temperature continues to not drop, it means that the patient may have worsening symptoms of poisoning or an enlarged mass. Surgical treatment should be taken immediately to avoid the serious consequence of abscess rupture.

2. Abscess persists

Some patients with pelvic inflammatory disease have improved symptoms after drug treatment. After continuing to control the inflammation for 2-3 weeks, if the lump has not disappeared but has a tendency to become localized, surgical resection can also be adopted to avoid the recurrence of acute inflammation or the formation of chronic pelvic inflammatory disease in the future.

3. Abscess rupture

If a patient with pelvic inflammatory disease suddenly develops symptoms such as increased abdominal pain and distension, high fever and chills, nausea and vomiting, or is accompanied by symptoms of toxic shock, rupture of the fallopian tube and ovarian abscess should be highly suspected, and laparotomy should be performed immediately for treatment, and antibiotics should be used to assist in anti-inflammatory treatment. Otherwise, if the abscess ruptures and is not diagnosed and treated in time, it will be life-threatening.

TIPS: The principle of surgical treatment of pelvic inflammatory disease is to remove the lesion. If the patient is young, the ovarian function should be preserved as much as possible, and conservative surgery should be used. If the patient is older and both sides of the adnexa are affected and the abscess occurs repeatedly, total hysterectomy or bilateral adnexectomy should be used for treatment.