Pelvic inflammatory disease, commonly known as PID, is an infection of the female reproductive organs that can cause irreparable damage to the uterus, ovaries, fallopian tubes, or other parts of the female reproductive system. It generally occurs as a complication of the sexually transmitted disease such as gonorrhoea and/or chlamydia etc.
Symptoms of Pelvic Inflammatory Disease
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Dull pain or tenderness in the stomach or in the lower or right upper abdominal area
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Yellow or green abnormal vaginal discharge with an unusual odour
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Painful urination
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High fever with chills
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Nausea and vomiting
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Pain during sex
Diagnosis of Pelvic Inflammatory Disease
A detailed medical and sexual history along with pelvic examination may reveal infection of reproductive organs. In addition to this, following diagnostic tests are also performed to confirm PID:
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Blood tests for infection
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Ultrasound of reproductive organs
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Endometrial biopsy
Laparoscopic Surgery for PID
PID that has occurred due to an abscess and is not responding to treatment requires surgical management. The procedure is performed under general anaesthesia through small incisions in the abdomen. One of the incisions is used to insert a port (nozzle) that fills the carbon dioxide gas into the abdomen to inflate it. Now laparoscope is inserted through another incision. A laparoscope is a telescope lookalike with a light and camera on the end. It allows the surgeon to clearly view inside of the abdomen on the monitor outside. After thorough evaluation, abscess is drained or the organ with the abscess is removed like hysterectomy in uterus infection or oophorectomy in ovarian infection. On completion of the procedure, carbon dioxide is released and incisions are closed with sutures or staples, or covered with glue-like bandage.
Advantages of Laparoscopic Surgery for PID
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Less damage to the surrounding tissues
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Faster recovery
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Very less pain during and after the procedure
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Smaller incisions
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Negligible risks and complications
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Less chances of wound infection
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Negligible risks and complications
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Less chances of wound infection
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High success rate