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.