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A Comparative Study of Outcome of Laparoscopic Salpingo‐Oophorectomy versus Open Salpingo‐Oophorectomy
Author(s) -
Leetanaporn Roengsak,
Tintara Hatern
Publication year - 1996
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1996.tb00941.x
Subject(s) - medicine , oophorectomy , laparoscopy , general surgery , surgery , gynecology , hysterectomy
Objective : To determine the effectiveness and appropriateness of laparoscopic salpingo‐oophorectomy (LSO) versus open salpingo‐oophorectomy (OSO) in developing country. Method : A clinical study with historical control consisted of 31 LSO cases of benign ovarian cysts were compared with 41 OSO cases matched by diagnosis and difficulty. Results : The operative time of the LSO cases was higher (p < 0.001), but the morbidity was comparable (p = 0.22). The postoperative hospital stay of the LSO was shorter (p < 0.001). Patients who had LSO revealed meaningfully decreased postoperative use of analgesic (p < 0.05). The time to full recovery for LSO was shorter (p < 0.001), but the hospital charges were higher (p < 0.001). Conclusions : LSO is considerable safe and effective alternative to OSO but incurs higher hospital charges. The overall cost effectiveness of LSO, especially in the developing countries, need further evaluation.