Surgical Management of Pelvic Inflammatory Disease
Pearls and Pitfalls
Clinicians should have a low threshold for diagnosing and treating pelvic inflammatory disease (PID) in young women; empiric treatment of PID should be initiated in the presence of uterine and/or adnexal tenderness or cervical motion tenderness when other etiologies are not obvious.
Patients infected with Chlamydia trachomatis may present with vague symptoms as compared to patients infected with Neisseria gonorrhoeae; C. trachomatis often results in a higher rate of infertility.
The most severe form of PID is the development of a tubo-ovarian abscess (TOA) which has the potential of progression to sepsis and death if diagnosis and treatment do not occur in a timely manner.
For pelvic abscesses, treatments include transvaginal and transcutaneous drainage; laparoscopy with irrigation and drainage or excisio ...
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- Surgical Management of Pelvic Inflammatory Disease
- Reference Work Title
- General Surgery
- Reference Work Part
- Section 9
- pp 1719-1730
- Print ISBN
- Online ISBN
- Springer London
- Copyright Holder
- Springer-Verlag London
- Additional Links
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- Editor Affiliations
- 1. Department of Surgery, Deputy Director, Comprehensive Cancer Center University of Alabama School of Medicine
- 2. Department of General and Visceral Surgery, University of Heidelberg
- 3. Department of Surgery, University Hospital
- 4. James C. Mason Professor of Surgery Department of Surgery, Mayo Clinic College of Medicine
- 5. Department of Clinical and Surgical Sciences, The University of Edinburgh Royal Infirmary of Edinburgh
- 6. Department of Surgery, The University of Hong Kong Queen Mary Hospital
- Author Affiliations
- 1. Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 618 20th Street South, NHB 219, 35233, Birmingham, AL
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