Análisis de los factores que motivan la reconversión a laparotomía en los quistes de ovario tratados inicialmente por laparoscopia

A descriptive, observational, retrospective study was performed of patients with cystic adnexal masses who required conversion from laparoscopic to open surgery in the same intervention in a 7-year period (1999-2005). The study was carried out in the Joan XXIII University Hospital in Tarragona, Spain. Patient characteristics and the possible factors contributing to a higher risk of failed laparoscopy, such as prior surgery, the presence of endometriosis, and cyst size, were analyzed. Conversion to laparotomy occurred in 8.6% of all patients and was associated with adhesions in 81%, incoercible bleeding in 5.4%, anesthetic difficulties in 5.4%, impossibility of performing pneumoperitoneum in 5.4% and equipment failure in 2.7%. Endometriosis was found in 67.5% of the total number of cysts.