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Updated: Aug 17, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
A comparative study of outcome of laparoscopic salpingo-oophorectomy versus open salpingo-oophorectomy
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Thailand.
Objective:
To determine the effectiveness and appropriateness of laparoscopic salpingo-oophorectomy (LSO) versus open salpingo-oophorectomy (OSO) in developing country.
Method:
A clinical study with historical control consisted of 31 LSO cases of benign ovarian cysts were compared with 41 OSO cases matched by diagnosis and difficulty.
Results:
The operative time of the LSO cases was higher (p < 0.001), but the morbidity was comparable (p = 0.22). The postoperative hospital stay of the LSO was shorter (p < 0.001). Patients who had LSO revealed meaningfully decreased postoperative use of analgesic (p < 0.05). The time to full recovery for LSO was shorter (p < 0.001), but the hospital charges were higher (p < 0.001).
Conclusions:
LSO is considerable safe and effective alternative to OSO but incurs higher hospital charges. The overall cost effectiveness of LSO, especially in the developing countries, need further evaluation.
