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  • Title: Surgical treatment for salpingo-oophoritis patients.
    Author: Ledger W.
    Journal: J Reprod Med; 1983 Oct; 28(10 Suppl):716-7. PubMed ID: 6644690.
    Abstract:
    In the past, the established methods of surgical treatment for salpingo-oophoritis were extraperitoneal drainage of a pelvic abscess or total abdominal and bilateral salpingo-oophorectomy. Increasing awareness of the role of anaerobic bacteria and changes in antibiotic-prescription patterns have modified the clinical response of some patients. In patients with a unilateral tuboovarian abscess, unilateral removal of the adnexa suffices. In the past operative therapy for treatment of salpingo-oophoritis was limited to either establishing extraperitoneal drainage of a pelvic abscess through the posterior vaginal cul-de-sac or performing a laparotomy and totally removing the pelvic organs. In the 1940s, 1950s, and 1960s antibiotic therapy for patients with suspected pelvic abscess was penicillin and an aminoglycoside. Unilateral tuboovarian abscess was an entity discovered frequently in the 1960s and 1970s. These unilateral infections probably result from a different mechanism than the ascending route seen with bilateral disease. A unilateral tuboovarian abscess requires only its unilateral removal in the vast majority of these patients and over 90% will require no further surgery. There is no justification for operative intervention in patients for a persistent pelvic mass during the initial course of therapy.
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