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The review aim is to evaluate the clinical results of solitary laparoscopy for removing large ovarian cysts (16 CM) to those of laparotomy and three-port laparoscopy
Author(s):
1. MUHAMMAD AHMED MUJTABA: PAF Hospital Mushaf,Sargodha, Pakistan
2. MARIA KHAN: Bakhtawar Amin Medical and Dental College, Multan, Pakistan
3. KHIZRA MANZOOR: Surgery Department Abbas Institute of Medical Sciences Muzaffarabad Azad Kashmir, Pakistan
4. TAHIRA FATIMA: Shalamar Medical and Dental College, HOD Fauji foundation Hospital Lahore, Pakistan
5. YASIR QAYYUM: Surgery Department Midland Doctors Medical Institute Tandali Muzaffarabad AJK, Pakistan
6. HASEEB UL HASSAN: Surgery Department Abbas Institute of Medical Sciences Muzaffarabad Azad Kashmir,Pakistan
Abstract:
Aim: Though standard laparoscopy has increasingly gained acceptance as the surgical therapy for ovarian cancer, decreasing laparoscopy sequence number remains a significant issue for bigger ovarian tumors. Thus, the goal of this review is to contrast the clinical results of solitary laparoscopy for eliminating large ovarian cysts (16 cm) to those of laparotomy and 3-port laparoscopy. Methods: Our current research included 96 individuals with large ovarian cysts (>16 cm) which had single-port, 3port, or else laparotomy. Patients' health records, perioperative surgical results, postoperatively score, and complications were all evaluated and discussed retrospectively. Our current research was conducted at Services Hospital Lahore from May 2020 to April 2021. Results: 1-port laparoscopy produced improved perioperative results and less postoperative discomfort compared to 3-port laparoscopy and laparotomy. The duration during process and waking up in the morning was significantly shorter in 1-port laparoscopy than in laparotomy and three-port laparoscopy (18.548.17 vs 28.428.58 vs 23.558.77, P0.02). The hospital admission was substantially lower in single-port laparoscopy set than in extra two sets (5.070.6 vs 6.472.64 vs 5.820.84, P0.002). Furthermore, single-port laparoscopy resulted in lower postoperative discomfort notches than laparotomy and 3-port laparoscopy. Conclusion: Single-port laparoscopy is indeed very secure and effective method for large ovarian cysts, only with benefits of the shorter surgery duration, less anticipated blood loss, a shorter hospital stays, a reduced spillage rate, and lesser postoperative discomfort.
Page(s): 1282-1284
Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 16, Issue: 1, Year: 2022
Keywords:
Laparotomy , ovarian cysts , ThreePort Laparoscopy , Solitary Laparoscopy , Clinical Results
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