What is the best way to treat pelvic peritonitis?

Pelvic peritonitis is also a common peritoneal inflammatory disease, and the incidence rate is very high for women. Once you suffer from this disease, you will often experience a series of serious symptoms such as abdominal pain, high fever, severe shock, heart failure, pulmonary edema, etc. So how to treat it?

1. Antibiotic treatment: For patients with obvious symptoms, antibiotics should be used as the first choice for treatment. Antibiotics can kill any remaining pathogenic bacteria and prevent acute attacks. Commonly used drugs are still penicillin, gentamicin, metronidazole, etc., and the usage is the same as that for acute salpingo-oophoritis and pelvic peritonitis.

2. Tissue therapy: such as placental tissue fluid, placental globulin, intramuscular injection, once a day or every other day, 15 times as a course of treatment.

3. Physical therapy: Benign warm stimulation can promote pelvic blood circulation, improve the nutritional status of local tissues, and facilitate the absorption and disappearance of inflammation. Commonly used physical therapies include short wave, ultrashort wave, infrared, audio, ion penetration, etc. However, do not use physical therapy if the body temperature exceeds 37.5℃ or if you have genital tuberculosis.

4. Other drug treatments: Intrauterine injection can be used to treat fallopian tube obstruction caused by chronic salpingitis. Use 160,000 units of gentamicin, 5 mg of α-chymotrypsin, and 5 mg of dexamethasone, dilute them with 20 ml of normal saline, strictly disinfect the vulva, vagina, and cervix, and then inject into the uterine cavity. Start 3 days after the menstruation ends, and inject once every 2 days until before ovulation. The treatment can be continued for 3 cycles.

5. Surgical treatment: Larger hydrosalpinx or tubo-ovarian cysts caused by inflammation can be treated surgically. For those who are infertile due to fallopian tube obstruction, fallopian tube repair surgery can be performed. For chronic salpingo-oophoritis and pelvic peritonitis with repeated acute attacks, when drug treatment is not effective, the patient is in great pain, and the patient is older, surgical treatment may also be considered.