Diagnostic laparoscopy and management of patients with confirmed acute pelvic inflammatory disease.

The clinical success rate in the diagnosis of acute pelvic inflammatory disease (PID) is unacceptably low. There is an invaluable role for laparoscopy in the diagnosis, investigation and treatment of patients with suspected pelvic infection. PID at Ngwelezana Hospital is predominantly gonococcal and a combination of penicillin G and clindamycin has proved highly effective in the management of these patients.