system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adult, Emergencies, Female, Hemoperitoneum, Hospitals, University, Humans, Laparoscopy, Ovarian Cysts, Ovariectomy, Pregnancy, Pregnancy, Ectopic, Retrospective Studies, Rupture, Spontaneous, Salpingectomy, Treatment Outcome.
user
Does laparoscopic Approach have Benefits in Gynecological Emergencies - Even for Massive Hemoperitoneum? Context: The purpose of this study is to compare the laparoscopic with the open approach in hemoperitoneum of gynecological origin. Retrospective study of patients admitted to a tertiary emergency hospital between January 2013 - January 2015. There were 56 patients, 27 in the laparoscopic group (LG) and 28 in the open group (OG). The gynecological emergency was a ruptured ovarian cyst in 20 (74%) versus 17 (59%) cases, and an ectopic pregnancy with tubal rupture in 7 (26%) versus 12 (41%) patients in both the laparoscopic and open approaches, respectively. The main outcome - mean intraoperative hemoglobin decrease - was 1.5 +- 1.2 g/dl in the laparoscopic and 1.9 +-1.4 in the open approach (p=0.344). There were no differences regarding red blood transfusion rate, needs for analgesics, postoperative complications and in-hospital stay.
assistant
The laparoscopic approach in acute abdomen of gynecologic origin is non-inferior to open surgery. Final Decision: yes