Correlation of Operative Findings with Preliminary Diagnosis in Patients with Ovarian Cysts Undergoing Laparoscopy
Background: Ovarian cyst is one of the commonly encountered scenarios in Gynecology emergencies as well as outpatient department, contributing significantly to patients’ mortality and morbidity. However, with the development of modern endoscopic techniques, most ovarian cysts can be diagnosed and treated with the help of laparoscopy.
Methodology: This study was carried out at Maternal and Child Health unit 2, Pakistan Institute Medical Sciences (PIMS), Islamabad from 1st Jan 2018 to 30th June 2018. Total 210 patients undergoing laparoscopic surgery for ovarian cysts were registered in the study after taking informed consent.
Results: Ovarian cysts were indication for laparoscopy in 42.1 % patients (n= 90) followed by 39.0 % of patients (n=82) with infertility. There was a significant difference between the preliminary and per-operative diagnosis of ovarian cysts and infertile patients (p= 0.0001 and 0.0002 respectively).
Conclusion: There is poor correlation between preliminary and per-op diagnosis of patients with ovarian cysts and infertility undergoing laparoscopy. Even in a developing country like Pakistan, performing laparoscopy on such patients can decrease their morbidity in the long run.
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