Operation modes and postoperative treatment of endometriosis of the ovary

Objective:To compare the advantages of abdominal operation and laparoscopic cystectomy of endometriosis of the ovary and treatment,explore the effect of laparoscopy in treatment of endometriosis.Methods:Among 188 patients with endometriosis of the ovary undergoing cystectomy,92 patients underwent laparoscopic cystectomy(laparoscopy group)and 96 patients underwent abdominal operation(abdominal operation group),follow-up was carried out for 12～36 months after operation,the perioperative situations,the rates of symptoms remission,recurrence and pregnancy in the two groups were compared.56 patients in laparoscopy group undergoing operation from June to December 2005 were selected,the rate of recurrence,pregnancy outcomes and adverse reactions of drugs under different treatment modes were compared.Results:The amount of blood loss during operation in laparoscopy group was(110.5±82.8)ml,which was significantly less than that in abdominal operation group (189.5±96.8)ml〕(P0.05).The operation time of laparoscopy group was(136.5±80.4)minutes,while the operation time of abdominal operation group was(148.5±86.8)minutes,there was no significant difference(P0.05);the postoperative morbidity of laparoscopy group(4.3%)was significantly lower than that of abdominal operation group(12.5%)(P0.05);the postoperative activity out of bed days and anal exsufflation time in laparoscopy group were significantly shorter than those in abdominal operation group(P0.05);there was significant difference in pregnancy rate after operation between the two groups(P0.05),but there was no significant difference in rate of recurrence between the two groups(P0.05);in laparoscopy group,there was no significant difference in rates of pregnancy and recurrence among different postoperative treatment modes(P0.05).Conclusion:Laparoscopy is safe,effective,minimal-invasive in treatment of endometriosis of the ovary,for the patients with birth demand,drugs can be abandoned if complete cystectomy can be insured.