日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Pelvic abscess is often resistant to conservative therapy and requires surgical intervention. The appropriate mode of surgery should be discussed in each case to minimize the risk of massive bleeding and organ damage because in many cases, the pelvic abscess is accompanied by severe adhesions and endometriosis. Thus, its impact on fertility should also be considered. Laparoscopic surgery enables surgeons to use an enlarged view, leaves the patient with a smaller scar, and results in a shorter hospitalization period compared with open surgery. We have analyzed the outcomes of cases with pelvic abscess for which laparoscopic surgery was performed between April 2014 and March 2019. Of 30 cases, 28 had abscess of the adnexa, and these patients progressed well after surgery. Laparoscopic surgery can, therefore, be used as a minimally invasive technique to treat both infection and tumor in cases with pelvic abscess.