Benign Tumors of the Female Reproductive Tract

Adolescent Age Group - Management

 

Laparoscopy

Acute PID to con rm the diagnosis

Persisted symptoms in patient with the clinical diagnosis of PID or TOA

The surgical management of in ammatory masses is rarely necessary

in adolescents, except ruptured TOA or failure of medical management

with broad-spectrum antibiotics

Some surgeons advocate the use of laparoscopy in the management of

suspected  acute  PID  to  con rm  the  diagnosis,  and  to  perform

irrigation,  lysis  of  adhesions,  drainage  and  irrigation  of  unilateral  or

bilateral pyosalpinx or tuboovarian abscess, or extirpation of signi cant

disease.

While symptoms persist in a patient with the clinical diagnosis of PID or

tuboovarian abscess, laparoscopy should be considered to con rm the

diagnosis. A clinical diagnosis may be incorrect in up to 1/3 of patients.

The surgical management of in ammatory masses is rarely necessary

in  adolescents,  except  to  treat  rupture  of  tuboovarian  abscess  or

failure of medical management with broad-spectrum antibiotics

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