Chronic salpingo-oophoritis (CSO) is one of the most common chronic inflammatory diseases of the uterine appendages. Due to its unexpressed clinical manifestations, longer duration, frequent recurrences, complications, such as adhesive processes in the small pelvis, defects of the body's immunological responsiveness, it is hard to evaluate the treatment for CSO and make a prognosis for the disease.
The use of preformed physical factors is reasonably considered a leading measure among the complex of pathogenetic therapeutic measures against chronic inflammation of the uterine appendages. The laser therapy, in particular low-intensity laser radiation (LILR), has become widely used among other physical factors of the treatment.
The laser therapy technique is contact, stable in projection zones of the uterine appendages and the uterus on the anterior abdominal wall, as well as in acupoints in the lumbosacral region.
The drug therapy was made according to clinical pathways to treat inflammatory diseases in the uterine appendages including the prescription of broad-spectrum antibiotics and antifungal drugs.
The activation of the cytokine system is related to mechanisms that cause an inflammation process in the uterine appendages. These mechanisms include prolonged tissue hypoxia, impaired microcirculation, autoimmune processes, and activation of inflammation cellular effects.