Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum

Sen-Wen Teng, Jen-Yu Tseng, Jen‐Yu Tseng, Cheng-Kun Chang, Chung-Ti Li, Yi‐Jen Chen, Yi-Jen Chen, Peng-Hui Wang, Peng‐Hui Wang
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
Non-randomised trial OA: closed CC0 ⤵ 6 in-corpus citations
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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 OBJECTIVE: To compare differences between laparoscopy and laparotomy in managing women ruptured corpus luteum with hemoperitoneum. DESIGN: Three-year, prospective, nonrandomized study (Canadian Task Force classification II-2). SETTING: University-affiliated regional hospital. PATIENTS: Sixty hemodynamically stable women. INTERVENTION: Laparoscopic surgery (30 women) and laparotomy (30). MEASUREMENTS AND MAIN RESULTS: Laparoscopic 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. CONCLUSION: Laparoscopy 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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MeSH descriptors

Hemoperitoneum Laparoscopy Laparotomy Ovarian Cysts Adult Female Hemodynamics Hemoperitoneum Hemoperitoneum Humans Laparoscopy Laparotomy Ovarian Cysts Ovarian Cysts Ovarian Cysts Prospective Studies Rupture, Spontaneous

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