Gozukucuk Murat, Karasu Yetkin, Kaya Sena Münire, Yangır Erhan, Üstün Yusuf
Department of Obstetrics and Gynecology, Ankara Training and Research Hospital, Ankara, Turkey.
Department of Obstetrics and Gynecology, VM Medical Park Hospital, Ankara, Turkey.
J Minim Access Surg. 2022 Apr-Jun;18(2):207-211. doi: 10.4103/jmas.JMAS_114_21.
The aim of the study was to compare the effectiveness of single-incision laparoscopy with conventional laparoscopy in cases of ovarian torsion.
Patients who were surgically treated for ovarian torsion in our clinic were retrospectively analysed. The demographic information and surgical records of the patients were obtained from the patient files. Patients treated with single-incision laparoscopy and conventional laparoscopy were compared in terms of demographic characteristics, surgical procedure performed, duration of surgery, amount of bleeding, laboratory results, post-operative pain scores and length of hospital stay.
There were 19 patients in the single-incision laparoscopy and 30 in the conventional laparoscopy groups. The two groups were similar in terms of age, obstetric history and body mass index (P > 0.05). The mean operation time was 56.26 ± 15.34 min in the single-incision laparoscopic surgery (SILS) group and 55.07 ± 10.78 min in the conventional laparoscopic surgery group (P > 0.05). There was no significant difference between the two groups in terms of complications, duration of hospital stay, pre- and post-operative haematocrit difference and visual analogue scale-pain scores at hours 0, 6, 12 and 24 (P > 0.05).
SILS appears to be as feasible, effective and safe as conventional laparoscopy in the treatment of ovarian torsion cases.
本研究旨在比较单孔腹腔镜手术与传统腹腔镜手术治疗卵巢扭转的效果。
对我院接受手术治疗的卵巢扭转患者进行回顾性分析。从患者病历中获取患者的人口统计学信息和手术记录。比较接受单孔腹腔镜手术和传统腹腔镜手术的患者在人口统计学特征、所实施的手术操作、手术时长、出血量、实验室检查结果、术后疼痛评分及住院时间等方面的差异。
单孔腹腔镜手术组有19例患者,传统腹腔镜手术组有30例患者。两组在年龄、产科病史和体重指数方面相似(P>0.05)。单孔腹腔镜手术(SILS)组的平均手术时间为56.26±15.34分钟,传统腹腔镜手术组为55.07±10.78分钟(P>0.05)。两组在并发症、住院时间、术前和术后血细胞比容差值以及0、6、12和24小时的视觉模拟评分-疼痛评分方面无显著差异(P>0.05)。
在治疗卵巢扭转病例中,单孔腹腔镜手术似乎与传统腹腔镜手术一样可行、有效且安全。