Laparoscopy versus laparotomy for benign ovarian tumour

Abstract

In women undergoing surgery for benign ovarian tumours, laparoscopy is associated with a reduction in the following; febrile morbidity, urinary tract infection, post operative complications, post operative pain, days in hospital and total cost. These findings should be interpreted with caution as only a small number of studies were identified including a total of only 324 women and not all of the important outcomes were reported in each study.

Advantages of the hand-assisted versus the open approach to elective colectomies

“…Although traditional open laparotomies allow the greatest capacity for tactile feedback and direct visualization, the large laparotomy incision has wellknown postoperative disadvantages including prolonged ileus, dehydration, increased pain, prolonged convalescence, and frequent wound complications [1][2][3][4][5]. On the other hand, the benefits of laparoscopy include decreased postoperative pain and wound complications, quicker return of bowel function, shorter hospital stay, and reduced total costs [6][7][8][9].…”

Comparison of Two Ovarian Malignancy Prediction Models Based on Age Sonographic Findings and Serum Ca125 Measurement

“…These optimal results are achieved mostly in tertiary care hospitals (Mederiros, 2005). OMPS1 might be used in the first step of triage and with very low scores (below 2.3) , malignancy is ruled out with 100% sensitivity and there is no need to pay attention to CA125 results or requesting this test and If OMPS1 is more than 2.3, patient can be reevaluated using OMPS2 at second step.…”

“…Tumors of the ovary generally present as adnexal masses (Campos et al, 2002). Proper management of an adnexal mass depends greatly on predicting the chance of malignancy to decide correctly by whom and where the patient should be operated on (Marjunath, 2001;Mederiros, 2005). In the case of malignancy the best prognosis is achieved if the patient is referred to tertiary care hospitals and primary operations done by expert surgeons in Gyneco -oncology field (Benedet, 2000;Soegaard, 2003;Valentin, 2004;Vernooij, 2007).…”

Single-port-access, hand-assisted laparoscopic surgery for benign large adnexal tumors versus single-port pure laparoscopic surgery for adnexal tumors

“…Laparoscopic surgery is becoming a popular treatment option for adnexal tumors because it offers better visualization and cosmesis and reduces postoperative pain [1,2]. Currently, most adnexal surgeries for benign masses are performed by laparoscopy [3].…”