An Observational study of Laparoscopic management of ruptured ectopic pregnancy. A single centre analysis

Pany Supriya; Padhy  Biren

Volume : VI, Issue : IX, September - 2016

An Observational study of Laparoscopic management of ruptured ectopic pregnancy. A single centre analysis

Pany Supriya, Padhy Biren

Abstract :

OBJECTIVE : To evaluate the advantage of the outcome of laparoscopic management of Ectopic pregnancy with respect to ease of asccess and vision, intraoperative management, post operative recovery and complications. The study was conducted at a single laparoscopic surgical centre. DESIGN: The study conducted was retrospective (Canadian Task Force Classification II–I) PATIENTS: The present study included 66 women who presented with ruptured ectopic pregnancy and underwent Laparoscopic management of their ruptured ectopic pregnancy from July 2006 till July 2016 over an 11 year period. Measurements and main results: All the surgeries were performed by the same surgical team using the same surgical technique that is laparoscopic Salpingo Oopherectomy. The medical records were reviewed, and data were collected with respect to age, site, previous surgery, intra–operative findings, operative time and post operative complications. Patient average age was28.4 yrs. Nineteen patients had undergone previous surgery.The average operative time was 110 minutes. Twenty patients had other operative findings other than the ruptured ectopic gestation. There was one conversion to open surgery and nil major complications. The average hospital stay was 3 days. CONCLUSION : In our experience of 66 patients with ruptured ectopic pregnancy, Laparoscopic Salpingo–oopherectomy was performed successfully in 65 patients.All had a speedy and smooth recovery and were discharged from the hospital in 3 days. Thus laparoscopic management of ruptured ectopic pregnancy can be performed safely and effectively in most cases of this emergency condition.