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KMID : 0358419960390071320
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Korean Journal of Obstetrics and Gynecology
1996 Volume.39 No. 7 p.1320 ~ p.1324
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Usefulness of Operative Pelviscopic Cystectomy for Endometrioma
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Abstract
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Twenty-two patients diagnosed to endometrioma by ultrasonography and diagnostic laparoscopy were treated with cystectomy under the operative pelviscopy, and the duration of operation and postoperative recovery time and duration of hospital stay
were
recorded and we compared these data in 48 laparotomy cases.
The mean durations of operation were 2.4±0.7 hours in laparotomy and 2.1±0.4 hours in pelviscopy, and so the duration of the pelviscopic operation was significantly shorter than laparotomy(p<0.05). Recovery of gastrointestinal peristalsis was
observed
at postoperative 2.4±0.8 dyas in laparotomy and 1.5±0.5 days in pelviscopy. Therefore peristasis of gastrointestinal tract was significantly more rapidly recovered in pelviscopy than in laparotomy(p<0.01). Disappearance of major postoperative
pain was
observed on 2.7±0.8 days after operation in laparotomy and 1.3±0.4 days in pelviscopy, and so postoperative pain was disappeared more rapidly in pelviscopy(p<0.01). Duration of hospital stay was 6.5±0.7 days in laparotomy and 4.8±0.4 days in
pelviscopy, and so the duration of hospital stay was significantly shorter in pelviscopy(p<0.01). Cystic walls were not completely removed in 4 of 46 patients in laparotomy cases, but they were completely removed in all pelviscopy cases. There
were
no
failure cases of pelviscopic operation for endometrioma.
In view of results, pelviscopic removal was suggested better method for cystectomy of endometrioma than laparotomy.
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KEYWORD
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