Analysis on surgeries in ovarian endometriosis

Objective To compare cystectomy laparoscopicly and laparotomicly in treatment for ovarian endometriosis,and to evaluate laparoscopy in ovarian endometriosis therapy Methods Patients with ovarian endometriosis were separated into two groups,laparoscopic cystectomy and laparotomy cystectomy group,who were followed up postoperatively for 12～36 months The operative and postoperative situations,symptoms remission,pregnancy rate and disease recurrent rate were analyzed retrospectively Results The amount of blood lost during the operation in laparoscopic cystectomy was significantly less than that in laparotomy(110 5±82 8) ml vs (189 5±96 8) ml, P 0 05 The postoperative disease rate in laparoscopic group was significantly less than that in laparotomy (4/92,4 3% vs 12/96,12 5% P 0 05) The hospitalizaton time was significantly shorter in laparoscopic group The operation time was similar between the two groups There was significant difference in the pregnant rates after operation Conclusions laparoscopic diagnosis and treatment of endometriosis is safety,effective,micro-invasive and can be performed widely