Hysterectomy for septic abortion--is bilateral salpingo-oophorectomy necessary?

Abstract

Ovarian conservation at the time of hysterectomy for complicated septic abortion is important in this young population group. In a retrospective study, the histological evaluation of the ovaries of 25 patients were compared with the macroscopic description in the operation reports. In 72.3% of the ovaries examined there was no infection. None of the ovaries described clinically as normal at laparotomy showed histological signs of infection. The clinical assessment of infected ovaries was false-positive in 40% of cases but there was no false-negative decision-making. It is concluded that ovaries which appear normal at hysterectomy for septic abortion should be conserved.

• Authors: E T de Jonge, P F Venter
• Journal: South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde (S Afr Med J) Vol. 74 Issue 6 Pg. 291-2 (Sep 17 1988) ISSN: 0256-9574 [Print] South Africa
• PMID: 3047888 (Publication Type: Journal Article, Review)

Topics

• Abortion, Septic (pathology, surgery)
• Adnexa Uteri (pathology)
• Adult
• Female
• Humans
• Hysterectomy
• Ovariectomy
• Pregnancy
• Retrospective Studies