Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum.
OBJECTIVE
To compare differences between laparoscopy and laparotomy in managing women ruptured corpus luteum with hemoperitoneum.


METHODS
Three-year, prospective, nonrandomized study (Canadian Task Force classification II-2).


METHODS
University-affiliated regional hospital.


METHODS
Sixty hemodynamically stable women.


METHODS
Laparoscopic surgery (30 women) and laparotomy (30).


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.


CONCLUSIONS
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.
Teng
Sen-Wen
SW
Department of Obstetrics and Gynecology, Cardinal Tien Hospital, Hsintien; Fu Jen Catholic University, Taipei, Taiwan.
Tseng
Jen-Yu
JY
Chang
Cheng-Kun
CK
Li
Chung-Ti
CT
Chen
Yi-Jen
YJ
Wang
Peng-Hui
PH
D000328:Adult; D005260:Female; D006439:Hemodynamics; D006465:Hemoperitoneum / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D010048:Ovarian Cysts / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D012422:Rupture, Spontaneous