Clinical comparative study of laparotomy and laparoscopic adenomyomectomy

Objective By comparing clinical date of laparotomy and laparoscopic adenomyectomy, to expore the clinical application value of laparoscopic adenomyectomy. Methods A prospective cohort study of patients undergoing laparoscopic adenomyectomy(n=70) was carried out in Beijing Obstetrics and Gynecology Hospital from Jan. 2010 to Jan. 2014. 34 patients undergoing laparotomy adenomyectomy in the same period was selected as the control group. For the comparision of the two groups, the operation duration, blood loss during operation, postoperative maximum temperature, the length of postoperative hospitalization, postoperative hemoglobin change, postoperative dysmenorrhea score, menstrual score and recurrence rate were observed. Results Compared with laparotomy group, the patients of laparoscopic group show significant shorter length of postoperative hospitalization[(5.6 ± 1.4)d vs(6.4 ± 1.1)d] (P 0.05). The laparotomy group show significant lower recurrence rate than that in the laparoscopic group[1/34 (1.4%) vs 6/70 (17.6%), P<0.05)]. There was no significant difference in menstrual score and dysmenorrhea score between two groups two years after operation. Conclusions Laparoscopic adenomyectomy are safty and effective conservative surgery. Recovery after laparoscopic adenomyectomy is faster than laparotomy, but it′s recurrence rate is higher. Therefore, it is necessary to choose indications carefully. Key words: Adenomyomectomy; Laparoscopy; Laparotomy