Comparison of Laparoscopy and Laparotomy in Managing Hemodynamically Stable Patients with Ruptured Corpus Luteum with Hemoperitoneum

Sen-Wen Teng, Jen‐Yu Tseng, Cheng-Kun Chang, Chung-Ti Li, Yi‐Jen Chen, Peng‐Hui Wang
In: The Journal of the American Association of Gynecologic Laparoscopists · 2003 · vol. 10(4) , pp. 474–477 · doi:10.1016/s1074-3804(05)60147-8 · PMID:14738631 · W2110694416
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Laparoscopic surgery for ruptured corpus luteum with hemoperitoneum offered a shorter hospital stay and similar safety outcomes compared to laparotomy in hemodynamically stable women.

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Abstract

Study objectiveTo compare differences between laparoscopy and laparotomy in managing women ruptured corpus luteum with hemoperitoneum.DesignThree-year, prospective, nonrandomized study (Canadian Task Force classification II-2).SettingUniversity-affiliated regional hospital.PatientsSixty hemodynamically stable women.InterventionLaparoscopic surgery (30 women) and laparotomy (30).Measurements and main resultsLaparoscopic surgery had significant advantages over laparotomy, including shorter hospital stay (55.33 +/- 7.67 vs 97.77 +/- 14.45 hrs, p < 0.001) without increased adverse events. Laparoscopic surgery also showed trends of shorter operating time, improved wound care, and less postoperative pain.ConclusionLaparoscopy surgery for diagnosis and treatment of women with ruptured hemorrhagic corpus luteum appears superior to laparotomy. We suggest that surgeons try laparoscopy first as a diagnostic and probably therapeutic procedure.

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