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Published on: January 22, 2022
Laparoscopic management of tubal ectopic pregnancy
Dah-Ching Ding1, Tang-Yuan Chu, Sheng-Po Kao
1Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Hualien, Tzu Chi University, Hualien, Taiwan, ROC. dah1003@yahoo.com.tw
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.
