Laparoscopy Versus Laparotomy in the Management of Ectopic Pregnancy
Objective: To compare the outcome of laparoscopy with laparotomy in the management of ectopic pregnancy (EP), both ruptured and un-ruptured.
Patients and Methods: This cross-sectional study was conducted in Department of obstetrics and gynecology at multiple centers in Sahiwal, Bahawalpur and Multan, during the period from January 2015 to June 2017. Total no. of 167 patients of ectopic pregnancy were included in our study. Of these 167 patients, 32 came with ruptured ectopic pregnancy and other 135 with un-ruptured EP. Following outcome variables were collected; operative time, complications, estimated blood loss and postoperative hospital stay. Mean and standard deviation was calculated for demographic variables while frequency and percentage was calculated for outcome variables and association of these variables with groups was checked using computer software SPSS version 16. p value < 0.05 was considered as significant.
Results: Out of total 167 patients, ruptured EP was found in 19.2% and non-ruptured in 80.8% patients. Regarding blood transfusion and need of analgesia, significant association (p=0.000) was found between laparoscopy and laparotomy. As compared to laparotomy, during laparoscopy large number of patients did not require blood transfusion ((95.3%) and analgesia (64.1%). Regarding total operating time, duration of hospital’s stay and estimated blood loss, significant difference (p=0.000) was found between the two groups.
Conclusion: Postoperative outcomes suggested that laparoscopy proved to be more efficient regarding blood loss, need for blood transfusion, need for analgesia and duration of postoperative hospital stay as compared to laparotomy.
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