A comparative study of outcome of laparoscopic salpingo-oophorectomy versus open salpingo-oophorectomy.
OBJECTIVE
To determine the effectiveness and appropriateness of laparoscopic salpingo-oophorectomy (LSO) versus open salpingo-oophorectomy (OSO) in developing country.


METHODS
A clinical study with historical control consisted of 31 LSO cases of benign ovarian cysts were compared with 41 OSO cases matched by diagnosis and difficulty.


RESULTS
The operative time of the LSO cases was higher (p < 0.001), but the morbidity was comparable (p = 0.22). The postoperative hospital stay of the LSO was shorter (p < 0.001). Patients who had LSO revealed meaningfully decreased postoperative use of analgesic (p < 0.05). The time to full recovery for LSO was shorter (p < 0.001), but the hospital charges were higher (p < 0.001).


CONCLUSIONS
LSO is considerable safe and effective alternative to OSO but incurs higher hospital charges. The overall cost effectiveness of LSO, especially in the developing countries, need further evaluation.
Leetanaporn
R
R
Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Thailand.
Tintara
H
H
D003362:Cost-Benefit Analysis; D003906:Developing Countries; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D017721:Hospital Costs; D006801:Humans; D010535:Laparoscopy / Q000191:economics; D010048:Ovarian Cysts / Q000601:surgery*; D010052:Ovariectomy / Q000191:economics / Q000379:methods*; D011183:Postoperative Complications; D016896:Treatment Outcome