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Korean Journal of Obstetrics & Gynecology 2006;49(8):1745-1753.
Published online August 1, 2006.
Clinical Analysis of Early Intervention of Pelviscopic Pus Drainage in the Acute Pelvic Inflammatory Disease.
Min Whan Koh, Yeun Kyoung Bae, Yoon Young Choi
Department of Obstetrics and Gynecology, College of Medicine, Yeungnam University, Taegu, Korea. kohmw@yumail.ac.kr
Abstract
OBJECTIVE
The purpose of this study was to evaluate the clinical efficacy of the early pelviscopic intervention in the acute pelvic inflammatory disease of reproductive aged female. METHODS: A clinical evaluation for 30 women who underwent pelviscopic pus drainage in the pelvic inflammatory disease from September 2001 to December 2004 was done. This study group was compared with the control group that 34 cases of intravenous antibiotics treatment performed and we evaluated the clinical and laboratory findings were recorded for all patients before and after treatment. RESULTS: The mean hospital stay was 7.8 days and 6.9 days respectively (p=0.25). There was statistical difference in regarding to febrile status period, that is febrile status was significantly improved in pelviscopy group. The febrile status of the study group was normalized within postoperative third day except 1 case that postoperative hematoma was formed in cul de sac, but it was not normalized within hospital fifth day in 6 cases (27%) of the control group (p=0.05). But there was no statistical difference between the two groups in regarding to clinical symptom free period except febrile status, WBC count change, and ESR/CRP count change. CONCLUSION: In this study, no significant difference was found between the two groups in regarding to clinical progress. But this study suggested that the early pelviscopic pus drainage was effective first line treatment method for the acute pelvic inflammatory disease with less complications and relatively rapid clinical improvement. However further study with more expanded cases that early pelviscopic intervention was done for the prevention of long term complications of pelvic inflammatory disease will be needed.
Key Words: Acute pelvic inflammatory disease, Early pelviscopic pus drainage


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