Approaches to management of patients with purulent processes of small pelvic organs
The complex examination and treatment of 75 patients with purulent tube-ovarian formations. In recent years they have no tendency to decrease and make up from 8.9% to 16.5% of all inflammatory diseases of the pelvis. Timely diagnosis of pathology according to the algorithm of step-by- step examination and management of patients with inflammatory diseases, allows to choose adequate therapy, tactics of management and treatment of this category of patients. Women using intrauterine contraceptives represent a high risk group for purulent tube-ovarian formations, the main preventive measure of which is an adequate examination for infections before the introduction of a contraceptive and its timely extraction. The main infections agents are microorganisms of theStaphylococcus and the Enterobacteriacea. Endoscopic methods are the "gold standard" in the diagnosis and treatment of uncomplicated forms of pelvic inflammatory disease. Surgical treatment of purulent inflammatory diseases of the uterine appendages remains one of the most difficult tasks of operative gynecology.