Salpingo-oophorectomy: clinical and financial analyses of laparoscopic and open techniques.
OBJECTIVE
To analyze clinical results and financial costs of salpingo-oophorectomy performed by laparoscopy versus laparotomy.


METHODS
Comparison of laparoscopic salpingo-oophorectomy with procedures performed by laparotomy.


METHODS
St. Vincent's Hospital and Fallon Clinic in Worcester, Massachusetts.


METHODS
Twenty women in both groups.


METHODS
Salpingo-oophorectomies performed by laparoscopy and laparotomy.


RESULTS
Women undergoing laparotomy had a 25% rate of postoperative complications compared with 0% of those having laparoscopy. The duration of the procedures and hospital charges were similar for both groups. Length of hospital stay and time to return to work were significantly less after laparoscopy than laparotomy.


CONCLUSIONS
Laparoscopic salpingo-oophorectomy was associated with significantly fewer complications than the operations performed by laparotomy. Although women in the laparoscopy group had a shorter hospital stay, their higher charges were attributed to costly disposable instruments. Patients benefit from early return to work and other activities after laparoscopy.
Hidlebaugh
D
D
Fallon Fertility Center, 100 Central Street, Worcester, MA 01608, USA.
O'Mara
P
P
Conboy
E
E
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D005069:Evaluation Studies as Topic; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects / Q000191:economics / Q000379:methods; D007902:Length of Stay / Q000191:economics; D008875:Middle Aged; D010049:Ovarian Diseases / Q000503:physiopathology / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D016896:Treatment Outcome; D014481:United States