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Laparoscopic treatment of adnexal abscesses. a series of 39 patients

Raiga, J.; Denoix, S.; Canis, M.; Lebouedec, G.; Glowaczower, E.; Wattiez, A.; Pouly, J.L.; Mage, G.; Manhès, H.; Bruhat, M.A.

Journal de Gynecologie Obstetrique et Biologie de la Reproduction 24(4): 381-385

1995

ISSN/ISBN: 0368-2315
PMID: 7650314
Document Number: 450258
Evaluate short- and long-term follow-up of patients treated by laparoscopy and antibiotherapy for tubo-ovarian abscess. We report a retrospective study of 39 patients treated from January 1983 to December 1992. Clinical files were examined and a questionnaire was mailed to patients. None of the patients needed to be reoperated for failure of the first laparoscopic treatment. A laparoscopic control after 3 month was done in 35 cases, which allowed complete adhesiolysis in every patients. We performed distal tubal surgery in 17 patients at that time and oriented 6 patients directly towards IVF. Subsequent fertility, in 19 patients followed without contraception, demonstrated a rate of spontaneous intra-uterine pregnancy of 63%. This study confirms that laparoscopy remains the technique of choice in initial management of adnexal abscesses.

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