Comparison of Laparoscopy and Laparotomy Results for Benign Ovarian Tumors

Jule Eriç Horasanlı, Gülnur EREN, Mehmet Sinan Iyısoy
In: Journal of Contemporary Medicine · 2022 · vol. 12(6) , pp. 997–1001 · doi:10.16899/jcm.1123262 · W4310343154
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This study compared outcomes for 443 patients with benign ovarian tumors, finding laparoscopy resulted in fewer surgical site infections, shorter hospital stays, and less need for blood transfusions compared to laparotomy.

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This study compares the surgical outcomes of laparoscopy versus laparotomy for the management of benign ovarian tumors. The authors analyzed clinical data to evaluate differences in operative time, blood loss, hospital stay, and complication rates between the two minimally invasive and open surgical approaches. Results indicated that laparoscopy offered significant advantages in terms of reduced recovery time and fewer postoperative complications compared to traditional laparotomy. Relevance to endometriosis: Laparoscopy is a primary diagnostic and therapeutic tool for endometriosis, making this comparative analysis of surgical techniques relevant to the broader context of gynecological interventions used for both benign ovarian conditions and endometriotic lesions.

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Abstract

Abstract Objectives: To present the data generated at our hospital by comparing the operative characteristics and surgical results of patients who applied to the clinic and emergency room due to ovarian cyst and underwent laparoscopy or laparotomy. Materials and Methods: In this retrospective study, patients who underwent cystectomy, oophorectomy, and hysterectomy salpingo-oophorectomy due to ovarian cysts were compared in two groups, comprising laparoscopy and laparotomy. Evaluated retrospectively in this study were 443 patients operated on due to benign ovarian cyst diagnosis. Data in the patient files were analyzed in terms of age, cyst size, postoperative hemoglobin, postoperative white blood cell count, operating time, hospital stay, and surgical site infection. Results: Postoperative surgical site infection was significantly higher in the laparotomy group. The risk of surgical site infection was RR= 4. 5 (1.74–11.67) times higher in those who underwent laparotomy when compared to laparoscopy. The duration of hospital stay was lower in the laparoscopy group for all operation types (oophorectomy, cystectomy, and hysterectomy salpingo-oophorectomy). The cyst sizes of the patients who underwent hysterectomy salpingo-oophorectomy were significantly more significant in the laparotomy group. The duration of hospital stay in the patients who underwent hysterectomy salpingo-oophorectomy was significantly longer when compared to the laparoscopy group, while no significant difference was found in the oophorectomy and cystectomy patients. The need for blood transfusion was significantly lower in the laparoscopy group for all operation types. Conclusions: It was concluded that the duration of hospital stay, surgical site infection, need for blood transfusion, and operating time was less in patients who underwent laparoscopy. Laparoscopic surgery methods can be safely recommended for rapid and effective treatment of benign ovarian cysts with cystectomy, oophorectomy, and laparoscopic hysterectomy about hospital stay and complications.
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- 1. D. A. Grimes, L. B. Jones, L. M. Lopez, and K. F. Schulz, "Oral contraceptives for functional ovarian cysts," Cochrane Database of Systematic Reviews, 2011. - 2. L. Hongqian, W. Xiangao, L. Donghao, L. G. S. Zhihong, and S. Gang, "Ovarian masses in children and adolescents in China: analysis of 203 cases," J Ovarian Res, vol. 6, p. 47, 2013. - 3. W. Goh, J. Bohrer, and I. Zalud, "Management of the adnexal mass in pregnancy," Current Opinion in Obstetrics and Gynecology, vol. 26, pp. 49-53, 2014. - 4. Z. Khanum and A. Rehman, "The prevalence & age distribution of ovarian cysts," Annals of King Edward Medical University, vol. 11, 2005. - 5. N. Yesildaglar and P. Koninckx, "Adhesion formation in intubated rabbits increases with high insufflation pressure during endoscopic surgery," Human reproduction, vol. 15, pp. 687-691, 2000. - 6. M. Feuerstein, T. Mussack, S. M. Heining, and N. Navab, "Intraoperative laparoscope augmentation for port placement and resection planning in minimally invasive liver resection," IEEE Transactions on Medical Imaging, vol. 27, pp. 355-369, 2008. - 7. D. Tsolakidis, G. Pados, D. Vavilis, D. Athanatos, T. Tsalikis, A. Giannakou, et al., "The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: a prospective randomized study," Fertility and sterility, vol. 94, pp. 71-77, 2010. - 8. A. Kumar and M. Pearl, "Mini-laparotomy versus laparoscopy for gynecologic conditions," Journal of minimally invasive gynecology, vol. 21, pp. 109-114, 2014. 9. L. R. Medeiros, D. D. Rosa, M. C. Bozzetti, J. M. Fachel, S. Furness, R. Garry, et al., "Laparoscopy versus laparotomy for benign ovarian tumour," Cochrane Database of Systematic Reviews, 2009. Details Primary Language English Subjects Health Care Administration Journal Section Research Article Authors Gülnur Eren 0000-0002-5403-6733 Türkiye Publication Date November 30, 2022 Submission Date May 30, 2022 Acceptance Date November 24, 2022 Published in Issue Year 2022 Volume: 12 Number: 6

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