Open AccessWill women receive same-type repeat surgeries for treating benign adnexal tumors?—An 11-year nationwide population-based descriptive study in Taiwan
Author(s) -
Tian Ni Kuo,
Chia Jen Wu,
Ming Wu
Publication year - 2015
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.1016/j.gmit.2015.01.003
Subject(s) - medicine , laparotomy , laparoscopy , adnexal mass , adnexal diseases , surgery , population , general surgery , environmental health
ObjectiveLaparoscopy has gained worldwide popularity during the past 2 decades; however, it remains unclear whether repeat surgeries are affected by primary surgeries. Our objectives were to explore whether laparoscopy is the preferred choice for repeat surgeries in managing recurrent adnexal tumors and whether primary surgeries affect the choices.Materials and methodsWomen who were covered by the National Health Insurance, Taiwan, and received repeat surgeries for recurrent adnexal tumors in Taiwan during 1999–2009 were identified.ResultsA total of 135,793 women who received either laparotomy or laparoscopy for benign adnexal tumors were identified. Of them, 6609 women were admitted for repeat surgeries for recurrent adnexal tumors. The rates of using same-type operations (i.e., laparotomy-to-laparotomy or laparoscopy-to-laparoscopy) for repeat surgeries were 50.25% and 79.01% for laparotomy and laparoscopy, respectively (p < 0.0001).ConclusionThe choices of repeat surgeries were different after primary surgeries for recurrent adnexal tumors between the laparoscopy and laparotomy groups