Pelvic inflammatory disease and surgical treatment over a ten years period; single institution experience

  • Klara Matek School of Medicine, University of Zagreb, Croatia
  • Oliver Vasilj Department of Obstetrics and Gynecology, Medical School University of Zagreb, Sveti Duh Hospital, Zagreb, Croatia
  • Lucija Brkic School of Medicine, University of Zagreb, Croatia
Keywords: pelvic inflammatory disease, surgical treatment, surgical approach

Abstract

Background: In our study, we examined the frequency of surgical procedures due to the acute presentation of the pelvic inflammatory disease (PID) in regard to all gynecological procedures in a single institution. We also wanted to present patients' age range and type of surgical approach as well as surgical extension.

Materials and methods: This retrospective study investigated a total of 10,175 surgical procedures, out of which 103 were due to acute PID. The study included 101 patients. We obtained data from surgical procedures
performed from September 2009 to September 2019.

Results: In the observed ten years period, the frequency of surgical procedures due to the acute PID was 1.01%. It was found that women were mostly older than 25 (85.15%). Laparoscopy was performed in 52.43% of cases and laparotomy in 37.86% of cases. Laparotomy incisions were transverse in 26.67% of cases and vertical in 42.22% of cases. The most radical procedures were performed in 17.48% of cases in which patients underwent a subtotal or total hysterectomy with unilateral or bilateral
adnexectomy.

Conclusion: In conclusion, although rare, surgical procedures in PID are relevant because they are, according to our data, more common in patients older than 25, and surgical procedures tend to be more extensive.

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Published
2020-10-04
How to Cite
1.
Matek K, Vasilj O, Brkic L. Pelvic inflammatory disease and surgical treatment over a ten years period; single institution experience. Acta Chir. Croat. [Internet]. 2020Oct.4 [cited 2020Oct.22];17(1):23-6. Available from: https://acc.hkd.com.hr/index.php/ACC/article/view/119
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