Laparoscopy vresus laparotomy in mangement of benign adnexal swellings in premenopausal female

Ovarian cysts are one of the most common reason for gynecologic admission. The safety of laparoscopic management of benign adnexal masses has been amply demonstrated. The procedure is associated with reduced operative blood loss, fewer postoperative complications, shorter hospitalization, and ealier recovery compared wih laparotomyLaparoscopic surgery has become a valuable tool in both diagnostic and operative gynecologic procedures. In many cases, laparoscopy may replace conventional laparotomy for the diagnosis and treatment of adnexalOperative laparoscopy of ovarian cyst is now a method of choice due to its advantages, most of which focus on preserving ovarian tissue and minimizing postoperative adhesions formation in reproductive age womenLaparoscopy is a hybrid surgical approach that shares characteristics of both minor and major surgery. To patients, laparoscopic procedures often seem to be minor surgery because of the small incisions, relatively small amount of postoperative pain, and short convalescent period. When a laparoscopic procedure involves minimal intra-abdominal surgery (eg, diagnostic laparoscopy, tubal fulguration), both postoperative discomfort and the risk of complications may more closely resemble a minor procedure than a major procedureLaparoscopic procedures have unique risks, which are related to methods used for the placement of abdominal wall ports and to the pneumoperitoneum required for laparoscopy. The use of energy within the abdominal cavity likewise introduces risk. These risks include injury to bowel, bladder, or major blood vessels and intravascular insufflation. In addition, increased intra-abdominal pressures associated with laparoscopy increase anesthesia-related risks such as aspiration and increased difficulty ventilating the patient. Although the risk of blood loss is relatively low for most procedures, potentially massive blood loss may occur and is complicated by the fact that control of blood loss may be delayed by the time taken to perform an emergency laparotomy.