Operation with pelvioperitonitis (pyosalpinx)

Pelviopertionitis, or pyosalpinx, is a severe condition characterized by the accumulation of pus in the fallopian tubes due to infection, leading to inflammation of the pelvic peritoneum and serious complications. In such situations, it is necessary to urgently seek help; in severe cases, surgical intervention is indicated. At the "Dobrobut" medical network, experienced surgeons use the most modern treatment techniques and equipment, relying on international protocols for pelviopertionitis to preserve patient health and prevent complications.

What is Pelviopertionitis (Pyosalpinx):

The inflammatory process in pelviopertionitis develops rapidly, with a significant amount of pus accumulating in the fallopian tubes, and the infection spreading to the surrounding pelvic peritoneum. This condition can arise from untreated or severe pelvic inflammatory disease (PID) and threatens health and life without timely treatment.

Causes of Pelviopertionitis:

The main causes of pelviopertionitis are usually associated with bacterial infection, including:

Sexually transmitted infections (STIs) such as gonorrhea and chlamydia.
Infectious complications after pelvic surgeries or abortions.
Improper placement of intrauterine devices.
Postpartum infections.

Symptoms:

Symptoms of pelviopertionitis develop quickly and are often quite severe. Signs of pyosalpinx include:

severe pain in the lower abdomen on one or both sides,
fever and chills,
purulent vaginal discharge with an unpleasant odor,
nausea and vomiting due to peritoneal irritation,
prolonged and heavy menstrual bleeding.

If such symptoms appear, especially with rapid deterioration, it is essential to seek medical attention immediately.

Diagnosis:

The diagnosis of pelviopertionitis should be comprehensive and usually includes:

physical examination and palpation of the abdomen to assess tenderness in the pelvic area;
ultrasound to visualize the accumulation of pus in the fallopian tubes;
blood tests to identify infection and inflammation markers;
gynecological examination;
if necessary, laparoscopy for definitive diagnosis.

Treatment of Pyosalpinx:

The treatment of pelviopertionitis, depending on the severity of the condition, can be conservative or surgical. Medical therapy includes antibiotics and analgesics. If expected results from medication are not achieved or complications arise, surgical intervention is indicated.

Surgical Procedures in Pelviopertionitis:

Depending on the severity and extent of the infection, the surgeon chooses one of the methods for surgical treatment of pyosalpinx:

Laparoscopy: A minimally invasive procedure where a camera and instruments are inserted through small incisions to drain abscesses and remove infected tissues.
Laparotomy: An open surgery with an incision for direct access to the pelvic organs, used for more extensive infections or abscesses.
Salpingectomy/Salpingo-Oophorectomy: Involves removing part or all of the fallopian tubes (and sometimes ovaries) to eliminate the source of infection.

Rehabilitation Period:

The recovery time after surgery depends on the type and extent of intervention. The first hours or days, the patient is monitored in a hospital by medical staff. During this time, antibiotics are typically continued. After discharge, a follow-up visit plan is established. It is important to follow all doctor's recommendations and avoid heavy physical exertion.

Complications:

Although the surgery for pelviopertionitis can be life-saving, potential complications may include:

bleeding,
infection,
formation of scar tissue in the pelvic area (adhesions), which can lead to chronic pain and infertility.

Prevention of Pelviopertionitis:

Preventive measures to prevent pyosalpinx and its complications include recommendations for protection against infections, including sexually transmitted infections, and timely treatment of inflammatory diseases. Regular gynecological examinations are also necessary for the early detection of pathologies of the female reproductive system and help maintain reproductive health.

You can schedule an appointment with a gynecologist through the online form or by calling the contact center.