[Detection of gonorrhoea by laparoscopic diagnosis of acute adnexitis]

The presence of gonorrhoea was verified by culturing in 30.3 per cent of 119 patients in whom acute adnexitis had been confirmed by laparoscopy, gonorrhoeal findings being independent of types of inflammation.--Cervical, urethral, and abdominal cultures were prepared from various materials at one and the same time. Positive responses were recorded from them in one third of the cases of gonorrhoea. Three patients exhibited positive reactions only from abdominal cultures.--Additional aerobic and anaerobic pathogens were recorded from abdominal samples in 16 of 29 cases. Their occurrence should be taken into consideration in the treatment of female gonorrhoea with concomitant adnexitis.--A recommendation is made to the effect that abdominal gonorrhoeal cultures should be prepared in all cases of laparoscopy or laparotomy for acute adnexitis. Highest rates of detection can be expected, in that context, from tubal tissue cultures.--An approach is described by which to prepare gonorrhoeal cultures with no transport medium for conditions under which hospital and gonorrhoea laboratory are not located on one and the same premises.