Laparoscopic surgery of ovarian cyst in comparison with laparotomy at university hospital of Brazzaville

Abstract

Background: Laparoscopy in the treatment of ovarian cysts is new in most African countries. In 2009 we performed the first ovarian cysts operations by laparoscopy at the University Hospital of Brazzaville (UHB).
Objective: To show the contribution of laparoscopic surgery in the management of ovarian cysts.
Design: Retrospective comparative study.
Setting: Obstetrics and Gynaecology Department of the UHB, from 1st August 2009 to 31st August 2012.
Subjects: All patients operated on at the UHB for suspected ovarian cyst.
Results: Laparoscopic surgery for ovarian cyst represented 30.3% of operated cases. The average age of patients was 32.2 years versus 33 years in laparoscopy to laparotomy. The average rate was similar in both groups (1.78 ± 1.57 vs. 2.17 ± 1.8; p> 0.05). The most surgery was the intraperitoneal cystectomy in both groups, with no significant difference.The mean duration of surgery was reduced by laparoscopy (45.7 ± 17 min vs. 30 ± 7 min, p <0.05); as well as hospitalisation (4.2 ± 0.2 vs. 1.5 ± 0.5; p <0, 05). Postoperative pain was minimised by laparoscopy, significantly reducing the use of pain-killers. The average direct cost of the intervention was reduced by laparoscopy (123 445 ± 46 versus 192 ± 78 (160 CFA francs) (p <0.05). The aesthetic profit was significantly better in laparoscopy compared to laparotomy
Conclusion: The results of the treatment of ovarian cysts by laparoscopic surgery are significantly better compared to laparotomy. This practice therefore deserves to be popularised to the great benefit of patients.