Laparoscopic Approach has Benefits in Gynecological Emergencies - Even for Massive Hemoperitoneum
Mircea Beuran, Ionut Negoi, Sorin Hostiuc, Fausto Catena, Massimo Sartelli, Ruxandra Irina Negoi, Sorin PaunOriginal article, no. 1, 2016
Objective: The purpose of this study is to compare the laparoscopic with the open approach in hemoperitoneum of gynecological origin. Materials and methods: Retrospective study of patients admitted to a tertiary emergency hospital between January 2013 â€" January 2015. Results: There were 56 patients, 27 in the laparoscopic group (LG) and 28 in the open group (OG). The gynecological emergency was a ruptured ovarian cyst in 20 (74%) versus 17 (59%) cases, and an ectopic pregnancy with tubal rupture in 7 (26%) versus 12 (41%) patients in both the laparoscopic and open approaches, respectively. The main outcome - mean intraoperative hemoglobin decrease - was 1.5Â+-1.2 g/dl in the laparoscopic and 1.9Â+-1.4 in the open approach (p=0.344). There were no differences regarding red blood transfusion rate, needs for analgesics, postoperative complications and inhospital stay. Conclusion: The laparoscopic approach in acute abdomen of gynecologic origin is non-inferior to open surgery.
