Pelvic Inflammatory Disease - Surgery
Surgery is not usually done to treat
pelvic inflammatory disease (PID) unless it is needed
Surgery is sometimes used when a diagnosis is still unclear
after other tests are done or when antibiotic treatment is not working.
laparoscopy is usually used.
Procedures that may be used to diagnose and treat the
complications of pelvic inflammatory disease (PID) include:
which allows the surgeon to insert a lighted viewing instrument through a very
small abdominal incision, look for signs of
ectopic pregnancy or infection and scar tissue, and
make repairs if necessary.
- Laparotomy, which
allows the surgeon to directly inspect the abdominal cavity through a small
incision in the abdomen and make repairs if necessary.
- Drainage of an abscess using a needle and syringe. The doctor usually uses
ultrasound to clearly see where the needle is going,
which makes an incision unnecessary.
What To Think About
Surgery to remove
adhesions caused by pelvic inflammatory disease has
not been proved to relieve pain unless adhesions are severe (referred to as
stage IV adhesions).5
The need for
surgical treatment of PID has decreased over the past several years because of
earlier diagnosis and better antibiotic treatment.
laparotomy may be done for diagnosis of pelvic symptoms, and treatment can be
done at the same time. Laparoscopy is used more often. Laparotomy typically
requires a longer recovery period.