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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In cases of acute adnexitis laparoscopy is an excellent diagnostic method. By this way we found in 182 patients with clinical symptoms only 50,5% acute inflammatory diseases of adnexa. On the other hand there was a normal genital status in 18,1%, acute appendicitis in 9,9%, ectopic pregnancy in 7,7% etc. Clinical examinations and second-look-laparoscopy 6--8 weeks after ending the treatment cases of salpingitis alone showed the best results. Patients with more extensive inflammatory reactions had more adhesions too. An early diagnosis and treatment under hospital conditions is recommended. We have good experiences with immediately operation in cases of suppurative inflammation of the adnexa, which are only diagnosticate by laparoscopy.
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PMID:[Diagnosis and therapy of acute adnexitis using laparoscopy]. 15 52

A clinical trial on efficacy and tolerance of Cefazedone, a new semisynthetic Cephalosporine-derivate, was carried out in a gynaecological clinic on 75 patients. In 38 of these cases, besides the gynaecological affection, urinary tract infections were determined microbiologically (E. coli, P. mirabilis, klebsiella or enterococci). Inflammation of the lower abdominal area was established in the remaining 37 patients (adnexitis, pelvic peritonitis, endometritis, salpingitis). The average duration of treatment was 10 to 11 days. Cefazedone was injected intravenously twice a day, the daily dose was 2 to 4 g. The clinical assessment of the treatment was very good in 28 cases, good in 43 cases, moderate in 3 patients and poor in 1 case. All initially identified pathogens were eliminated after treatment. A slight transitory diarrhea was observed in 5 cases. There were no further side-effects. The values of gamma-GT, serum-creatinin, hemoglobin and erythrozytes were controlled before and after medication and showed no detremental effect of the drug. The local tolerance of Cefazedone was good in more than 90% of the cases treated.
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PMID:[Cefazedone in infectious diseases in gynecology. Clinical tests on efficacy and tolerance]. 37 73

Prostaglandin F2 alpha was used to induce abortion in 287 primigravidae, aged 13-44 (average age 17.5), who were 6-12 weeks pregnant. A solution of 5 mg prostaglandin to 20 ml isotonic salt solution was instilled extraamnially in 3 ml dosages at 1 hour intervals. If more than 8 instillations were required, the dosage was increased to 4-6 ml. In 61.3% of the patients, incomplete abortion was observed. In 30.3%, an additional minor Hegar dilatation was necessary. In 6.3%, complete Hegar dilatation was easily performed. The failure rate was 2.1%. There were 3 cases of endometritis, 9 of salpingitis, and 11 of adnexitis. The average postoperative hospitalization period was 6.7 days.
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PMID:[Early inflammatory complications in induction of abortion by means of intrauterine extra-amnial administration of prostaglandin F 2 alpha in primigravidae]. 55 77

C-reactive protein, synthesized by the liver, belongs to the group of proteins in the acute stage of inflammation. It has a very short half life of 6 to 8 hours with rapid evolution kinetics. The CRP level has been measured 959 times by the immuno-turbidimetric method in 500 in-patients of the Gynaecology Department of Claude Bernard Hospital. It was measured every 48 hours. The CRP level increases in the immediate post-operative period, reaches its maximum on D3 and falls back to normal between D5 and D7. The CRP level seems to be the most reliable parameter for the diagnosis of pelvic infections (namely salpingitis). It represents the best criterium to assess the effectiveness of the treatments administered to the infected patients (adnexitis, post-operative complications).
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PMID:[The significance of the level of C-reactive protein in gynecologic infections]. 226 34

Reported is a case of vesico-ovarian fistula in the right ovary of a 27- year-old woman. The development of fistulas between the bladder and ovary is an exceedingly rare occurrence; no recent cases have been described in the medical literature. In this case, the patient had worn an intrauterine pessary for contraceptive purposes for the preceding 18 months. She presented with dysuric symptoms and was misdiagnosed as having a urinary tract infection. Persistent microscopic hematuria prompted examination by urethrocystoscopy. Biopsy of the fistulous region showed hyperplastic and follicular chronic urocystitis with no malignant cells. The fistulous duct adhered to the parametrium and was surrounded by pelvioperitonitis. Treatment consisted of removal of the right adnexa, excision of the fistulous duct, and suturing of the bladder. The pessary was removed at the same time. Bacteriological examination revealed Staphylococcus epidermidis infection in the ovary and fistula as well as on the pessary. The histopathologic examination showed a fistulous suppurative inflammation of the right ovary and an ovarian abscess; also detected were granulocytic salpingitis and perisalpingitis. The patient's recovery was uneventful, with no complications. The adnexitis in this case appears attributable to the intrauterine device. As use of intrauterine pessaries becomes more widespread, a bladder-ovary route of inflammation should be considered, especially in women with discernible genital lesions with marked vaginal discharge.
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PMID:Vesico-ovarian fistula in suppurative ovarian inflammation and salpingitis. 229 29

A total of 15 cases of obstetrical and gynecological infections was treated with cefminox (CMNX, MT-141), a new cephamycin antibiotic, with following results. The subjects consisted of 3 cases of salpingitis, 2 cases of parametritis, 5 cases of endometritis, and 1 case each of puerperal fever, inflammation of the pelvic dead space, Bartholin's pyocele, vulvar abscess and suppurative mastitis. In 2 cases of endometritis, pelveoperitonitis and adnexitis were complicated, respectively. As a rule, CMNX was administered intravenously at a dosage of 1 g each twice a day by drip infusion route. The clinical results were rated as excellent in 8 cases, good in 6 cases and poor in 1 case, with an efficacy rate of 93.3%. No subjective or objective side effects were seen nor any abnormal laboratory test results were found.
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PMID:[Use of cefminox in infections in the field of obstetrics and gynecology]. 393 Jul 88

In 215 cases of 2-phased artificial abortion with metreurynter, the Schatz-Hoehne model was inserted for 180 nulliparae and 35 multiparae. In comparison with a control group of 1145 1-phase artificial abortion cases, the metreurynter patients exhibited no intra- or postoperative bleeding, perforations, cervicorrhexis, or residua placenta. There were incidences of fever, endometritis, and salpingitis-adnexitis, which were, however, reversible and easily treated. The rate of complications in the metreurynter group was 5.58% compared with 5.67% in the control group. This method is recommended for early artificial termination of pregnancy (up to the 12th week) for women who have not given birth and where there are cervix dilatation difficulties.
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PMID:[Experiences with the use of the metranoikter in interruption of pregnancy]. 481 45

Most infections occurring after an interruption of pregnancy (IP) are not due to the physician's negligence but rather to the patient's failure to follow treatment guidelines at home, especially their sexual activity and hygiene. The causes of secondary sterility were most often found to be parametritis with adnexitide or adnexitis on 1 or both sides. In a smaller percentage of cases there occurred salpingitis, cervicitis, colpitis, endometritis, and even pelveoperitonitis. It is not only infections that can cause sterility but disorders of the menstrual cycle (hypermenorrhagy, amenorrhagy) as well. The onset and the intensity of infection after IP is definitely dependent on the technique of the actual operation, the length of hospitalization, care at home after release from the hospital, and on the month of pregnancy when IP was performed.
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PMID:[Long-term follow up of secondary sterility following artificial interruption of pregnancy]. 547 33

Currently, the most used IUD's are those containing copper and the ones containing progestins. The foreign body reaction to these IUDs leads to biochemical and biological changes in the uterus which affect ovum and sperm transport and the development of the blastocyst. Copper augments this foreign body reaction and has a cytotoxic effect on sperm and blastocyst. Progesterone causes atrophy of the glands, a pseudodecidual stroma reaction of the endometrium and a change in blastocyst metabolism preventing implantation. Indications for IUD are: 1) older women with completed families, 2) between desired pregnancies, 3) with contraindications for hormonal contraception, 4) low compliance (e.g. mental disorders). Patients should be carefully examined before insertion of a well-fitting IUD. Patient education must include the occurrence of cramplike pain after insertion; light bleeding for a few days; more bleeding at first and, possibly, subsequent menstruation. Patients should be encouraged to see their doctor with more severe pain, bleeding, or fever. IUD should not be inserted immediately following pregnancy or abortion; higher expulsion and/or pregnancy rates have been observed with this in various studies. Follow-up with sonography after insertion should be done the 1st 2 months, then every 6 months. Pregnancy rates for various IUD's in the 1st year of use are between 0.5 and 2.6/100 women. Side effects of IUD's are spontaneous expulsion (1.4-15.7/100 women) in 1st year, bleeding disorders, pain, adnexitis, uterus perforation and ectopic pregnancy. Various contraindications for IUDs are listed. Indications for removal are: desire for children, pregnancy with in-situ IUD, pathological bleeding over more than 3 cycles, severe pain which does not disappear with spasmolytic analgesics, and occurrence of salpingitis.
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PMID:[The intrauterine device from today's perspective]. 685 15

The authors report 490 insertions of intrauterine devices in nullipaous women. 76% of the women were aged between 20 and 25. 64.17% of them had been using oral contraceptives exclusively before the IUD insertion. There were 36 incomplete and 3 complete expulsions: the expulsion rate was 10.2%. The continuation rate was 69.2%. 3 types of infection were observed: endometritis, salpingitis and adnexitis, and pelviperitonitis. The percentage of such infections was 3.7%. (Summary in ENG).
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PMID:[IUD's and nulliparaes: 379 women years among students from 1973 to 1979 (author's transl)]. 1226 31


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