During laparoscopy the preferred site for obtaining cultures in a patient with acute pelvic inflammatory disease is :
Ans. is d i.e. Fallopian tube Laparoscopic visualization of the pelvis is the most accurate method of confirming diagnosis of an acute P1D. However, it is not practical to advise diagnostic laparoscopy to all patients of PID, Indications of Laparoscopy in Acute PID : - Patients not responding to therapy, in order to confirm the diagnosis. - To obtain cultures from cul-de-sac or fallopian tube. - To drain pus. if necessary. Thus, cultures can be obtained from both cul-de-sac and fallopian tube. Telinde's Operative Gynae. 9/e, p 679 fuher says "Laparoscopy is an excellent means of obtaining cultures directly from the tubes." My answer to this question is Fallopian tube. You can have your opinion.
Endocervix
Pouch of Douglas
Endometrium
Fallopian tubes