Influence of laparoscopic surgery via different approaches on postoperative gastrointestinal function in patients with mature ovarian teratomas
Objective To explore the influence of laparoscopic surgery via different approaches on postoperative gastroin-testinal function in patients with mature ovarian teratomas.Methods Totally 92 patients with mature ovarian teratomas admitted to Xuchang Central Hospital were selected from July 2021 to January 2023.According to different laparoscopic approaches,they were divided into group A(curved single incision at the upper edge of the umbilical wheel),group B(longitudinal single incision at Shenque acupoint)and group C(multi-port).The perioperative indicators(surgical time,intraoperative blood loss volume,postoperative hospital stay),postoperative gastrointestinal function recovery sta-tus(exhaust time,recovery time of bowel sounds,defecation time),ovarian function indicators[follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),anti-Mullerian hormone(AMH)]and postoperative complications were compared among the three groups of patients.Results The surgical time in group A and group C was shorter than that in group B(P＜0.05),and the intraoperative blood loss volume from high to low was shown as group A＞group B＞group C,and there was no statistical significance in the postoperative hospital stay among the three groups(P＞0.05).The exhaust time,recovery time of bowel sounds and defecation time from high to low were manifested as group C＞group A＞group B(P＜0.05).There were no statistical differences in the levels of FSH,LH,E2,AMH within 3 months after surgery and the incidence rates of postoperative complications(P＞0.05).Conclusion Laparo-scopic ovarian tumor removal with longitudinal single incision at Shenque acupoint for patients with mature ovarian teratomas can restore gastrointestinal function more quickly after surgery,and it has smaller impact on ovarian function and has low incidence rates of postoperative complications.
Mature ovarian teratomasLaparoscopic surgeryApproachesShenque acupointGastrointestinal function
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