Laparoscopy versus microsurgery by laparotomy for excision of ovarian cysts in patients with moderate or severe endometriosis

Catalano GF, G F Catalano, Giovan Fiore Catalano, Marana R, R Marana, Riccardo Marana, Caruana P, Paul Caruana, P Caruana, Ludovico Muzii, L Muzii, S Mancuso, Mancuso S, Salvatore Mancuso
The Journal of the American Association of Gynecologic Laparoscopists · 1996 · vol. 3(2) , pp. 267–270 · doi:10.1016/s1074-3804(96)80011-9 · PMID:9050638 · W1994696665
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This study compared the efficacy and safety of laparoscopic cystectomy to microsurgical excision via laparotomy for ovarian cysts in patients with moderate or severe endometriosis.

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Abstract

Study objectiveTo compare the efficacy of laparoscopy versus microsurgery by laparotomy in the treatment of ovarian endometriomas.DesignRetrospective study with historical controls.SettingA tertiary university hospital.PatientsOne hundred thirty-two women under 40 years of age with ovarian endometriotic cysts at least 3 cm in diameter (stage III and IV endometriosis, R-AFS classification). Interventions. A single surgeon (RM) treated 83 patients by laparoscopy for excision of ovarian endometriomas by the stripping technique and 49 by microsurgery at laparotomy.Measurements and main resultsData regarding recurrence of ovarian cysts, symptomatic improvement, and reproductive outcome were comparable for the two groups. Postoperative febrile morbidity and length of hospitalization were significantly less for the laparoscopy group than for the laparotomy group (p <0.0005).ConclusionsOperative laparoscopy for excision of ovarian endometrial cysts by the stripping technique is as effective as microsurgery by laparotomy. It is associated with less febrile morbidity and a shorter hospitalization.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Microsurgery Ovarian Cysts Endometriosis Female Humans Length of Stay Ovarian Cysts Recurrence Retrospective Studies Treatment Outcome

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