Abstract :
Endoscopic surgery is rapidly advancing to be the surgery of the future. Laparoscopy is currently the most frequently performed gynecological procedure. Laparoscopic surgery is now firmly established as the operation of choice or Gold standard for treatment of most gynecological problems needing surgery. Laparoscopy is now fully accepted as the treatment of choice for conditions like ectopic pregnancies, pain due to adhesions, non-cancerous ovarian cysts, endometriosis, and infertility. Aim of the Study: Was to evaluate and compare the results of treating the adnexal pathology by using either operative laparoscopy or laparotomy. Patients and Methods: All studied patients were subjected to full routine clinical and gynecological examination including relevant investigations, and were allocated to two groups; Group (1) patients who had operative laparoscopy and Group (2) the laparotomy patients. In each group, 4 gynecological procedures were carried out: Ectopic Pregnancy, Ovarian cystectomy, Endometriosis with adhesiolysis, and Tubal sterilization. A total of 154 patients were included in the study. Results: Comparing the operative laparoscopy group to the laparotomy group, there was a significant difference in all postoperative parameters including the operative time, % of Hb reduction, duration of hospital stay in days, operative cost, analgesia required in the 1st 24 hrs, and recovery after surgery. The patients treated with operative laparoscopy showed early resumption of oral intake (hrs), faster resumption of movement and domestic work (days), and earlier return to work (days). Conclusion: Operative laparoscopy has become an effective and precise diagnostic and treatment procedure in gynecology.
