Mohana sundari K. P., Deeparani R. S, Shanthi S



          The aim of this study is to evaluate the operative and peri operative outcomes  laparoscopy and laparotomy for benign ovarian cysts in a prospective and randomized manner.

Methods :

Between June 2017 and February 2018 60 consecutive women with a diagnosis of benign ovarian  cysts and requiring surgical management were randomly assigned to laparoscopy and laparotomy and the outcomes evaluated.

Results :

          The mean operating time was longer in laparoscopy when compared to laparotomy as we are in the learning curve of doing laparoscopic surgeries. However  the mean blood loss was very less in laparoscopic group.  We found no difference in the post–op requirement of analgesic in both groups. In terms of faster recovery and  hospital stay laparoscopic group was better compared to laparotomy group.


 Laparoscopy should be considered as first choice in benign ovarian cysts as it is proved beyond doubt that it has less  blood loss, less hospital stay, faster recovery and ease in releasing adhesions. However  in our study operating time  was a little longer as we are in the learning   curve.


Benign ovarian cysts, Laparoscopy, Laparotomy, oopherectomy, cystectomy.

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Canis M. Pouly Jl. Wattiez a, Mage G. Namhes H and Bruhar MA (1997) Laparoscopic management of adnexal masses suspicious at ultrasound. Obstet Gynecol 89,679-683.

Hidlebaugh DA, Vulgaropulos S and Orr RK (1997) Treating adnexal masses. J Reprod Med 42.551-558.

Canis M, Rabischone B, HoulleC, botchorishvili R, Jardon K, Safi A, Wattiez A, Mage G, Pouly JL and Bruhat AM (2002) Laparoscopic management of adnexal masses a gold standard? Curr Opin Obstet Gynecol 14,423-428.

Yuen PM , YU KM , Yip SK, Lau WC, Rogers MS and Chang A (1997) A randomized prospective study of laparoscopy and laparotomy in the management of benign ovarian masses. Am J Obstet Gynecol 177, 109-114.

Carley ME. Klingele CJ, Genhart JB . Webb MJ and Wilson To (2003) adnexal masses. J Am Assoc Gynecol Laparosc 9,321-326.

Fanfani F, Fagotti A , Longo R. Marana E, Mancuso S and Scambia G (2004) Minilaparotomy in the management of benign gynecologic disease. Eur J Obstet Gynecol Reprod Biol volume 19, No 10pp, 2367-2371,2004.

Pelosi MA 3rd and Pelosi MA (1996) Minilaparotomy a laparoscopic view point. Am J Obstet Gynecol 175,1676.

Flynn MK and niloff JM (1999) Outpatient minilaparotomy for ovarian cyst. J Reprod Med 44,399-404.

Pejovic T and Nezhat F (2001) Laparoscopic management of adnexal masses: the opportunities and the risk.Ann NY Acad Sci 943,255-268.

Victor Benezra Usha Verma R. Wayne Whitted Comparison of laparoscopy versus laparotomy for the surgical treatment of ovarian dermoid cyst. Gynecol Surg (2005) 2: 89-92.

Limei Chen, Jingxin Ding and Keqin Hua Comparative analysis of laparoscopy versus laparotomy in the management of ovarian cyst during pregnancy. The Journal of J. Obs Gynaecol vol 40, No .3:March 2014.

Beeresh C.S ., Divyaree Doopadapalli, Vimala K.V., Krishna Lingegowda Int Reprod Contracept O&G May 2017 6(5):1999-2002.


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