Open versus closed entry techniques of laparoscopy in gynecological practice

To compare open versus closed entry techniques of laparoscopy in order to determine the safety of either procedure in gynecologic practice. Cross sectional study. Star General Hospital Karachi, from January 2010 to January 2012. Patients selected for the study were divided into two groups. In Group A open technique was used and in Group B closed technique was applied. Informed consent was taken from all the patients. Data were collected regarding age, time spent for the procedure in both the techniques, immediate and late complications. SPSS-Version16 was used for analysis. A total of 90 patients were recruited, 50 in group A and 40 in group B. Age of patients ranged between 25-45 year in group A and 25-37 year in group B. Time required for creating pneumoperitoneum was 6-17 minutes in group A and 6-10 minutes in group B. One [2%] patient had hemorrhage from primary port site in group A, primary port infection was observed in 20 [40%] patients in group A. Forty [80%] patients had gas leakage from primary port in group A. No patient had primary port hemorrhage, infection or gas leakage in group B. Time spent on wound closure ranged between 10-15 minutes in group A and 4-6 minutes in group B. Closed entry technique was better and safer in terms of time spent, primary port site hemorrhage, gas leakage and primary port infection than open entry technique

Ovarian torsion

Ovarian cysts are common, frequently asymptomatic and often resolve spontaneously. It is important to differentiate between ovarian cyst that resolve spontaneously over a period of six months and those that persists for longer period and require assessment and management. Emergencies which may occur with ovarian cysts include torsion, rupture or hemorrhage