Laparoscopy versus microsurgery by laparotomy for moderate and severe endometriosis

Catalano, Giovan Fiore; Marana, Riccardo; Caruana, Paul; Muzii, Ludovico; Pedullà, S; Mancuso, S

doi:10.1016/s1074-3804(05)80478-5

Cited by 2 publications

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“…Patients with endometriotic cysts usually have advanced American Fertility Society (AFS) classes. Our pregnancy rate of 45% in patients with endometriotic cysts compares well with the 43% reported in the study by Bateman et al (1994), or the 44% reported by Catalano et al (1995). 13,14 Most authors have not related the surgery in a detailed manner to the effect on patients' complaints.…”

Section: Discussionsupporting

confidence: 87%

“…Our pregnancy rate of 45% in patients with endometriotic cysts compares well with the 43% reported in the study by Bateman et al (1994), or the 44% reported by Catalano et al (1995). 13,14 Most authors have not related the surgery in a detailed manner to the effect on patients' complaints. In 1992 Sayegh & Garcia mentioned that laparoscopic q2000 Blackwell Science Ltd Gynaecological Endoscopy 2000 9, 91±94 conservational surgery did not affect ovulatory and menstrual function over a prolonged period but did not describe an improvement.…”

Section: Discussionsupporting

confidence: 87%

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Follow‐up of complaints and recurrence after laparoscopic surgery of benign adnexal tumours

Weemhoff

Beek

2000

Gynaecol Endoscopy

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Objective To examine the long‐term experience of laparoscopic cystectomy for benign adnexal tumours by analysing follow‐up visits, ultrasound re‐examination and questionnaires. Results Recurrence of benign nonfunctional ovarian cysts treated by cystectomy, after an average follow‐up of 23 months, was 4.8%, and 3% of the patients had some minor postoperative complications. Of the women who wanted to become pregnant after conservational treatment, 51% succeeded. Complaints decreased significantly after the operation and these changes persisted. Conclusion After conservational laparoscopic surgery of adnexal cysts, complaints decreased significantly and the patients fulfilled the desire of pregnancy in around 50% of cases. The recurrence rate is low and only a few postoperative complications occurred.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 87%

Follow‐up of complaints and recurrence after laparoscopic surgery of benign adnexal tumours

Weemhoff

Beek

2000

Gynaecol Endoscopy

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“…In any case, in our study the pregnancy rates following laparoscopy were generally comparable to those found in other studies 18–22 . Apart from the advantage of laparoscopic cystectomy with regard to future fertility, it also may offer other advantages over conventional laparotomy, namely reduced morbidity, a shorter hospital stay, and better recovery (Tables 4 and 5), which are logical though not new findings.…”

Section: Discussionsupporting

confidence: 89%

Laparoscopy or laparotomy in the management of benign adnexal cysts in premenopausal women

et al. 2002

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Objective To compare the outcome of laparoscopy and laparotomy in the management, in premenopausal women, of adnexal cysts which were not suspected to be malignant. Patients and methods In a prospective study, 98 premenopausal patients requiring surgical management for adnexal cystic swellings were assigned to receive laparoscopy (n = 48), or laparotomy (n = 50), at Mansoura University Hospital between April 1997 and July 2001. Inclusion criteria were the presence of adnexal cysts, not suspected to be malignant, with a maximum diameter ≤15 cm by ultrasonography, in non‐pregnant women, aged ≤40 years. Statistical analysis included the t test and the χ2 test. Results There were no differences in patient characteristics between the two groups including the size of adnexal cysts, adnexal adhesion score or the frequency of bilateral disease. All the cysts were benign. Endometriotic cyst, dermoid cyst and ovarian cystademoma were the most common disorders in the two groups. Cystectomy was performed in the majority of cases (87.5% of laparoscopies and 70% of laparotomies). The laparoscopic approach was associated with significantly less operative morbidity and postoperative analgesic requirement, and shorter hospital stay and recovery period. The percentage of patients who achieved pregnancy was higher after laparoscopy than after laparotomy. There was no adverse effect caused by the spillage of cyst contents during laparoscopic open cystectomy. Conclusions Operative laparoscopy could replace laparotomy in the management of premenopausal adnexal cysts which are not suspected to be malignant.

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Laparoscopy versus microsurgery by laparotomy for moderate and severe endometriosis

Cited by 2 publications

References 0 publications

Follow‐up of complaints and recurrence after laparoscopic surgery of benign adnexal tumours

Follow‐up of complaints and recurrence after laparoscopic surgery of benign adnexal tumours

Laparoscopy or laparotomy in the management of benign adnexal cysts in premenopausal women

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