Minilaparotomy for the ambulatory management of ovarian cysts

OBJECTIVE: The goal of this study was to assess the feasibility, safety, and cost effectiveness of minilaparotomy for the outpatient surgical management of ovarian cysts. STUDY DESIGN: Twenty-four consecutive patients ≤50 years old with 28 complex or persistent ovarian cysts ≤10 cm in maximum size u...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 1995-12, Vol.173 (6), p.1727-1730
Main Authors: Flynn, Michael, Niloff, Jonathan M
Format: Article
Language:English
Subjects:
Adult
ambulatory surgery
Ambulatory Surgical Procedures
Cost-Benefit Analysis
Feasibility Studies
Female
Humans
Laparotomy - methods
Middle Aged
Minilaparotomy
ovarian cystectomy
Ovarian Cysts - surgery
Time Factors
Treatment Outcome
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Summary:OBJECTIVE: The goal of this study was to assess the feasibility, safety, and cost effectiveness of minilaparotomy for the outpatient surgical management of ovarian cysts. STUDY DESIGN: Twenty-four consecutive patients ≤50 years old with 28 complex or persistent ovarian cysts ≤10 cm in maximum size underwent cystectomy or oophorectomy by minilaparotomy. Bupivacaine hydrochloride was injected in the wounds and ketoralac tromethamine (Toradol) administered systemically. The ovaries were reconstructed. RESULTS: All 24 patients were discharged on the day of surgery. There were no readmissions. Mean operative time was 45 minutes. The only complication was a single case of urinary retention managed on an outpatient basis. CONCLUSION: Minilaparotomy is a safe, cost-effective alternative to laparoscopy for the outpatient surgical management of ovarian cysts.
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(95)90417-4