title: Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Cardinal Tien Hospital, Hsintien; Fu Jen Catholic University, Taipei, Taiwan.
authors.forename: Sen-Wen
authors.initials: SW
authors.lastname: Teng
authors.forename: Jen-Yu
authors.initials: JY
authors.lastname: Tseng
authors.forename: Cheng-Kun
authors.initials: CK
authors.lastname: Chang
authors.forename: Chung-Ti
authors.initials: CT
authors.lastname: Li
authors.forename: Yi-Jen
authors.initials: YJ
authors.lastname: Chen
authors.forename: Peng-Hui
authors.initials: PH
authors.lastname: Wang
mesh_terms: 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