[Diagnosis and surgical therapy of suppurative inflammations of the adnexa]

A report is given on 119 patients suffering from abscessforming adnexitis, mainly tubo-ovarian abscesses (40.3%) and pyosactosalpinges (38.7%). These women were operated on within the first 24 hours after admission to the hospital. Before the operation was performed 70.6% of the women had been submitted to laparoscopy. The other ones (28.4%) had unequivocal primary sign of the disease. Laparoscopic diagnosis is recommended because especially in the early phase of abscess formation no clear diagnosis by clinical examination and paraclinical findings is possible. Operation as early as possible in case of formation of a tubo-ovarian abscess is recommended by reason of the good experience and results which become apparent by small intra- and post-operative complication rate of 1.7% respectively, the short hospital stay of 12.8 days and the short time of risamblement of 53 days. The extent of the operation should depend on degree of severity of the illness, reproductive aspects.