title: Laparoscopic Approach has Benefits in Gynecological Emergencies - Even for Massive Hemoperitoneum.
abstract: OBJECTIVE
  The purpose of this study is to compare the laparoscopic with the open approach in hemoperitoneum of gynecological origin.
  
  
  METHODS
  Retrospective study of patients admitted to a tertiary emergency hospital between January 2013 - January 2015.
  
  
  RESULTS
  There were 56 patients, 27 in the laparoscopic group (LG) and 28 in the open group (OG). The gynecological emergency was a ruptured ovarian cyst in 20 (74%) versus 17 (59%) cases, and an ectopic pregnancy with tubal rupture in 7 (26%) versus 12 (41%) patients in both the laparoscopic and open approaches, respectively. The main outcome - mean intraoperative hemoglobin decrease - was 1.5 +- 1.2 g/dl in the laparoscopic and 1.9 +-1.4 in the open approach (p=0.344). There were no differences regarding red blood transfusion rate, needs for analgesics, postoperative complications and in-hospital stay.
  
  
  CONCLUSIONS
  The laparoscopic approach in acute abdomen of gynecologic origin is non-inferior to open surgery.
authors.forename: Mircea
authors.initials: M
authors.lastname: Beuran
authors.forename: Ionut
authors.initials: I
authors.lastname: Negoi
authors.forename: Sorin
authors.initials: S
authors.lastname: Hostiuc
authors.forename: Fausto
authors.initials: F
authors.lastname: Catena
authors.forename: Massimo
authors.initials: M
authors.lastname: Sartelli
authors.forename: Ruxandra Irina
authors.initials: RI
authors.lastname: Negoi
authors.forename: Sorin
authors.initials: S
authors.lastname: Paun
mesh_terms: D000328:Adult; D004630:Emergencies; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000150:complications / Q000601:surgery*; D010052:Ovariectomy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D012189:Retrospective Studies; D012422:Rupture, Spontaneous / Q000150:complications; D058994:Salpingectomy; D016896:Treatment Outcome