Our Summary

This research paper aimed to compare the cost-effectiveness, risks, and benefits of two surgical methods for women with ovarian masses: minimally invasive surgery (MIS) and laparotomy. The study used a hypothetical group of 10,000 women to model the outcomes. It was found that MIS was both less expensive and more effective than laparotomy. On average, MIS cost $7,732 per woman, compared to $17,899 for laparotomy. MIS also resulted in slightly more quality adjusted life years (a measure of health quality and longevity) than laparotomy. Despite the risk of ovarian rupture during MIS, the number of cancer-related deaths was nearly the same in the two groups. The results consistently favored MIS in various sensitivity analyses, making it a cost-effective strategy for managing suspicious ovarian masses.

FAQs

  1. What were the two surgical methods compared in the study for treating ovarian masses?
  2. How does the cost and effectiveness of minimally invasive surgery (MIS) compare to laparotomy according to the research?
  3. What was the impact of the risk of ovarian rupture during MIS on cancer-related deaths in the study?

Doctor’s Tip

A doctor might tell a patient that minimally invasive surgery (MIS) is a less expensive and more effective option compared to traditional open surgery (laparotomy). MIS typically results in less pain, quicker recovery times, and fewer complications. It is important to discuss the risks and benefits with your healthcare provider to determine if MIS is the right choice for your specific situation.

Suitable For

Patients who are typically recommended minimally invasive surgery include those with:

  1. Ovarian masses or tumors
  2. Uterine fibroids
  3. Gallbladder disease
  4. Hernias
  5. Gynecological conditions such as endometriosis or ovarian cysts
  6. Prostate conditions
  7. Spinal conditions
  8. Digestive disorders
  9. Heart conditions
  10. Lung conditions

Minimally invasive surgery is often recommended for patients who are looking for faster recovery times, less pain, smaller incisions, and lower risk of complications compared to traditional open surgery. It is important for patients to consult with their healthcare provider to determine if they are a suitable candidate for minimally invasive surgery based on their specific medical condition and individual health factors.

Timeline

  • Initial consultation with a gynecologist to discuss symptoms and potential treatment options
  • Pre-operative appointments for lab tests, imaging studies, and medical clearance
  • Day of surgery: patient arrives at hospital, undergoes pre-operative preparations, and is taken to the operating room
  • Minimally invasive surgery is performed, typically involving small incisions and the use of a camera and specialized instruments
  • Patient is monitored in the recovery room before being discharged home
  • Post-operative follow-up appointments with the surgeon to monitor healing and address any concerns
  • Patient gradually resumes normal activities and experiences improved symptoms over time
  • Long-term follow-up to monitor for any potential complications or recurrence of the ovarian mass.

What to Ask Your Doctor

  1. What specific type of minimally invasive surgery do you recommend for my condition?
  2. What are the potential risks and complications associated with minimally invasive surgery compared to traditional open surgery?
  3. How experienced are you and your surgical team in performing minimally invasive surgery for my specific condition?
  4. What is the recovery time and expected outcome following minimally invasive surgery?
  5. Will I need any additional treatments or follow-up care after minimally invasive surgery?
  6. Are there any long-term implications or risks associated with minimally invasive surgery that I should be aware of?
  7. How does the cost of minimally invasive surgery compare to traditional open surgery, and will my insurance cover the procedure?
  8. Are there any specific lifestyle changes or precautions I should take before and after minimally invasive surgery?
  9. What are the success rates and potential benefits of minimally invasive surgery for my specific condition compared to open surgery?
  10. Are there any alternative treatment options to consider besides minimally invasive surgery?

Reference

Authors: Dioun S, Chen L, Melamed A, Gockley A, St Clair CM, Hou JY, Tergas AI, Khoury-Collado F, Elkin E, Accordino M, Hershman DL, Wright JD. Journal: BJOG. 2022 Apr;129(5):777-784. doi: 10.1111/1471-0528.16967. Epub 2021 Nov 16. PMID: 34651411