Comparative Study of Laparoscopic versus Laparotomic Surgery for Adnexal Masses

Background and Objectives: Adnexal masses are among the most important neoplastic lesions observed in women. Considering different results of laparoscopy versus laparotomy for adnexal masses, this study compared the surgical consequences of laparoscopy and laparotomy of adnexal masses. Methods: This prospective observational study was performed on females aged ۱۰ to ۷۵ years with adnexal mass referred to the gynecology clinic of Shohaday-e Tajrish Hospital (۲۰۱۹-۲۰۲۰) by convenience sampling. A total of ۳۴ patients in the laparoscopy group and ۲۹ patients in the laparotomy group were included in the study. SPSS  ۲۵ was used for data analysis. Results: The mean duration of surgery and anesthesia in laparoscopic patients was significantly more than in the laparotomy patients (P<۰.۰۵). There were no significant differences between patients in the two groups in terms of complications during surgery (P=۰.۶۲). The mean of pre-discharge pain (based on scoring from ۱ to ۱۰) in laparoscopic patients was significantly lower than in the laparotomy group (۳.۵ ± ۱.۲ and ۶.۷ ± ۱.۰, respectively, P<۰.۰۰۱). The mean length of hospital stay after surgery was significantly lower in the laparoscopic group compared with the laparotomy group (۲۹ ± ۹ hours and ۴۴ ± ۷ hours, respectively, P<۰.۰۰۱). Conclusion: Although the use of laparoscopy in adnexal masses is associated with a longer duration of surgery and anesthesia, due to the shorter hospital stay, it can be concluded that the use of laparoscopy in adnexal masses is better than laparotomy.

Keywords:

Adnexal mass Laparoscopy , Laparotomy , Neoplastic lesions , Outcome assessment