International Journal of Clinical Obstetrics and Gynaecology

Author(s): Dr. Oby Nagar, Dr. Gunjan Agrawal, Dr. Gaurav Agrawal, Dr. Akansha Sharma and Dr. Shalini Agrawal

Abstract: Background: For last two decades operative laparoscopy has become a routine for benign adnexal masses. Objective: To compare the safety and efficacy of laparoscopy and laparotomy for the management of benign adnexal masses. Methodology: 80 consecutive women with a diagnosis of presumed benign adnexal mass and requiring surgical treatment were randomly assigned to laparoscopy (Group A) and laparotomy (Group B). The two groups were matched demographically. Various parameters were compared among the two groups. Results: Median operating time for group A was 50.85±7.6 min and for group B was 45.72±11.7 min. Intraoperative blood loss was significantly less in group A than in Group B (30.8±14.9 vs 77.2±17.9 ml) p<0.0001. Significantly less patients in group A, had postoperative fever (10% vs 42.5%) p<0.001. Patients in group A remained in the hospital for a shorter time period (3.02±0.9 vs 5.53±0.9 days) p<0.005. Patients in group A required a shorter postoperative recovery time before resuming normal activities (7.47±0.8 vs 17.13±2.2 days) p<0.0001. Similarly, patients in group A took lesser time to become pain free (8.23±1.0 vs 19.13±2.2 days) p<0.0001. Patients in group A had smaller incision & less incision related complications (2.5% vs 17.5%) p<0.001. No intraoperative complications were registered in either group. Conclusion: This study demonstrates a statistically significant decrease in blood loss, postoperative pain and faster recovery in patients undergoing laparoscopy for adnexal surgery as compared to laparotomy.

DOI: https://doi.org/10.33545/gynae.2018.v2.i3c.87

Pages: 106-108 | 1812 Views | 806 Downloads

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