Minilaparotomy for Adnexal Surgery.

Jang, Dong Wook; Lee, Ji Young; Sohn, In Sook; Kim, Soo Nyung

Obstet Gynecol Sci > Volume 47(2); 2004 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2004;47(2):245-249.
Published online: February 1, 2004

Minilaparotomy for Adnexal Surgery.

Dong Wook Jang, Ji Young Lee, In Sook Sohn, Soo Nyung Kim

Department of Obstetrics and Gynecology, College of Medicine, Konkuk University, Seoul, Korea.

Abstract

OBJECTIVE
This study investigates the morbidity of adnexal surgery through minilapatotomy by comparing with adnexal surgery through laparotomy. METHODS: From January 2000 to December 2001, 84 patients with adnexal diseases were managed through minilaparotomy and 80 patients treated with adnexal surgery through laparotomy. RESULTS: Fifty-three (69.0%) of the adnexal diseases were ectopic pregnancies. Fifty-seven patients (67.9%) were treated with salpingectomy. Other patients were treated with the following operations: salpingotomy (3 cases, 3.6%); salpingostomy (3 cases, 3.6%); fimbrioplasty (2 case, 2.4%); ovarian cyst enucleation (4 cases, 4.8%); ovarian resection (6 cases, 7.1%); parovarian cystectomy (5 cases, 6.0%); salpingooophorectomy (4 case, 4.8%). The average operation time for minilaparotomy was 30.5 +/- 9.2 minutes. The average bowel function recovery time for minilaparotomy was 28.2 +/- 15.6 hours (p<0.05). The average postoperative pain control was 29 cases (34.5%) lower than that of controls (p<0.05). The average postoperative hospital stay for minilaparotomy was 3.4 +/- 1.0 days (p<0.05). The procedure morbidity was lower than that of controls. CONCLUSION: It is suggested that minilaparotomy is a quick, convenient method to decrease patient morbidity and postoperative stay and that it could be considered an alternative to laparotomy for the treatment of adnexal diseases.

Keywords: Minilaparotomy; Adnexal surgery