Comparison of mini laparotomy and laparoscopic ovarian drilling in management of polycystic ovarian disease

Abstract

Objective: To evaluate the intra-operative and post operative morbidity associated with minilap and laparoscopic ovarian drilling in patients with polycystic ovarian disease. Setting & Duration: Gynae Unit I of Jinnah Hospital Lahore and Ghurki Trust Teaching Hospital, Lahore and Surgimed Hospital Lahore from January 1999 to June 2004. Patients & Methods: A total of 76 patients were included in this study. All patients required ovarian drilling. Patients were randomized into 2 groups - one undergoing laparoscopic drilling (36 patients) and the other group had drilling via minilap (40 patients). The intra operative complications and post operative morbidity were analyzed. Results: 36 patients had ovarian drilling via laparoscopy. Bleeding was seen in 6 (16.6%) patients, in 2 (5.5%) patients laparotomy had to be done to control bleeding; visceral perforation was seen in 2 (5.5%) patients. Of 40 patients undergoing laparotomy, bleeding was seen in 1 (2.5%) patients only. No visceral perforation was seen in this group. Easy approachability was seen in the minilap group. The duration of hospital stay in both groups was 1.5 days. Conclusion: Mini laparotomy as a route for ovarian drilling is a safer option; with no increase in duration of hospital stay and is associated with lower morbidity.