Become A Member

  1. Home
  2. August 2019
  3. 10. Comparison between Operative Laparoscopy and Laparotomy in the Management of Haemodynamically Stable Patients with Ectopic Pregnancy
Article Image
Admin

10. Comparison between Operative Laparoscopy and Laparotomy in the Management of Haemodynamically Stable Patients with Ectopic Pregnancy

Sadia Zahoor, Sonia Zulfiqar, Nadia Zaman, Sadia Zulfiqar and Tahira Malik

ABSTRACT

Objective: To compare operative1 laparoscopy vs laparotomy in the management of haemodynamically stable patients with ectopic pregnancy.

Study Design: Comparative study.

Place and Duration of Study: This study was conducted at the Department of Obstetrics & Gynaecology, Sheikh Zaid Hospital, Rahim Yar Khan from October 2017 to April 2018. 

Materials and Methods: Total 72 married females of reproductive age (15-49 years) presenting in emergency/OPD of Obstetrics & Gynecology with suspected diagnosis of ectopic pregnancy till 8 weeks of gestation confirmed by transvaginal ultrasound, haemodynamically stable patients as defined in operational definitions having ß-hCG< 6000 IU/L were included in the study.

In study group A, laparoscopy was performed and in group B laparotomy was performed.  Operative duration, postoperative hospital stay and wound infection was compared between the both groups. 

Results: A total of 72 patients were selected for this study.  Mean age of the patients was 27.56±4.23 and 25.56±4.15 years in group-A and B, respectively. In group-A, mean gestational age was 6.0±1.2 weeks and in group group-B 5.7±1.1 weeks.  In laparoscopy group (A), no wound infection was noted but in laparotomy group (B), there were 4 (11.1%) patients found with wound infection.  Statistically significantly difference between wound infection of both groups was noted with p value 0.040.  In group A mean duration of operation was 79.89 ± 2.90 and in group B was 95.94 ± 2.55 minuets.  Mean post operative hospital stay was 1.06 ± 0.23 days in group A while 3.17 ± 1.44 days in group B.

Conclusion: In conclusion, laparoscopic treatment of ectopic pregnancy yielded superior benefits over laparotomy in terms of less operative time and less postoperative hospital stay. Additionally, laparoscopy has a great role in diagnosis of clinically suspicious cases. Therefore, laparoscopy should be opted whenever possible.

Key Words: Management of ectopic pregnancy, Laparoscopy, Laparotomy

Citation of articles: Zahoor S, Zulfiqar S, Zaman N, Zulfiqar S, Malik T. Comparison between Operative Laparoscopy and Laparotomy in the Management of Haemodynamically Stable Patients with Ectopic Pregnancy. Med Forum 2019;30(8):40-44.