A PROSPECTIVE RANDOMIZED STUDY OF LAPAROSCOPY VERSUS LAPAROTOMY IN THE SURGICAL MANAGEMENT OF BENIGN OVARIAN CYST.

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

Abstract


Aim:

          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.

Conclusion:

 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.


Keywords


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

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References


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