Resumo

CALLE-GOMEZ, Gustavo Adolfo et al. Laparoscopic management of severe pelvic inflammatory disease: a report of three cases and a literature review. Rev Colomb Obstet Ginecol [online]. 2011, vol.62, n.2, pp.201-207. ISSN 0034-7434.

Objective: carrying out a literature review about the usefulness of laparoscopy in treating tuboovarian abscesses in terms of improvement, hospital stay and subsequent fertility. Materials and methods: three cases of patients suffering from severe pelvic inflammatory disease are presented; they consulted at a private reference institution in Medellín, Colombia, and were then submitted to laparoscopy, accompanied by parenteral antibiotics as management. A search was made in the Medline database via PubMed using the following key words: “tubo-ovarian abscess, treatment, laparoscopy, fertility.” A search was also made in classical texts on the subject and management guidelines. Results: 49 pertinent articles were found, of which 13 were relevant to the matter in hand; 8 were review articles, 4 were case-series and 1 was a retrospective cohort study. Conclusion: conservative laparoscopic management of tubo-ovarian abscess during the disease’s initial period, accompanied by the appropriate antibiotic regime, emerged as an alternative which could improve short- and long-term results. High-quality studies are thus needed to confirm such observation.

Palavras-chave : pelvic inflammatory disease; pelvic abscess; tubo-ovarian abscess; laparoscopy.

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