Abstract
Study Objective To compare differences between laparoscopy and laparotomy in managing women ruptured corpus luteum with hemoperitoneum. Design Three-year, prospective, nonrandomized study (Canadian Task Force classification II-2). Setting University-affiliated regional hospital. Patients Sixty hemodynamically stable women. Intervention Laparoscopic surgery (30 women) and laparotomy (30). Measurements and Main Results Laparoscopic surgery had significant advantages over laparotomy, including shorter hospital stay (55.33 ± 7.67 vs 97.77 ± 14.45 hrs, p <0.001) without increased adverse events. Laparoscopic surgery also showed trends of shorter operating time, improved wound care, and less postoperative pain. Conclusion Laparoscopy surgery for diagnosis and treatment of women with ruptured hemorrhagic corpus luteum appears superior to laparotomy. We suggest that surgeons try laparoscopy first as a diagnostic and probably therapeutic procedure.
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