Comparison of laparoscopy and laparotomy in managing hemodynamically stable patients with ruptured corpus luteum with hemoperitoneum.

STUDY

OBJECTIVE

To compare differences between laparoscopy and laparotomy in managing women ruptured corpus luteum with hemoperitoneum.

DESIGN

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

SETTING

University-affiliated regional hospital.

PATIENTS: Sixty hemodynamically stable women.

INTERVENTION: Laparoscopic surgery (30 women) and laparotomy (30).

MEASUREMENTS AND MAIN

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.

CONCLUSION

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.