Laparoscopic management of tubal ectopic pregnancy.

Dah-Ching Ding, Dah‐Ching Ding, Tang‐Yuan Chu, Tang-Yuan Chu, Sheng-Po Kao, Pao‐Chu Chen, Pao-Chu Chen, Yu-Chi Wei, Yu‐Chi Wei
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2009 · vol. 12(3) , pp. 273–6 · PMID:18765051 · PMC3015877 · W252841966
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This study compared laparoscopic and laparotomy management of tubal ectopic pregnancy, finding that laparoscopy resulted in a significantly shorter hospital stay.

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Abstract

OBJECTIVES: To study the surgical morbidity associated with laparoscopic management of tubal ectopic pregnancy compared with that of open laparotomy. METHODS: A retrospective study in an academic tertiary obstetrics and gynecology referral center was conducted from 2005 through 2007. Forty-nine patients who had pathology-confirmed tubal ectopic pregnancies were divided into 2 groups, laparoscopy (n=38) and laparotomy (n=11). The main outcome measures included operative time, blood loss, and complications. RESULTS: No significant differences existed in gestational age, beta-hCG level, history of previous surgeries, pelvic inflammatory disease, or endometriosis. The laparotomy group included more patients with a history of previous ectopic pregnancy. The length of hospital stay following laparoscopic management was significantly less than that in the laparotomy group. CONCLUSION: Laparoscopic management of ectopic pregnancy can be the most beneficial procedure with maximum safety and efficacy.

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Condition tags

endometriosis

MeSH descriptors

Laparoscopy Pregnancy, Tubal Adult Blood Loss, Surgical Blood Loss, Surgical Body Mass Index Chi-Square Distribution Female Humans Laparoscopy Laparotomy Length of Stay Length of Stay Postoperative Complications Pregnancy Pregnancy, Tubal Retrospective Studies Statistics, Nonparametric Treatment Outcome

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Cites (1)

References (15)

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