Role of Laparoscopy in Management of Ectopic Pregnancy
نویسندگان
چکیده
Ectopic pregnancy means implantation of fertilized ovum outside the endometrial lining of the uterus. It remains the leading cause of early pregnancy-related death. Delay in diagnosis and treatment puts the life of women at risk. Laparoscopic surgery is increasingly becoming the preferred approach for ectopic pregnancy management. Laparoscopic treatment in ectopic pregnancy raises question of safety and feasibility when compared to laparotomy. In this review article our objective is to summarize the role of laparoscopy in management of ectopic pregnancy in comparison to laparotomy. For this, a literature search was done by using Google and PubMed. The selected articles were analyzed on laparoscopic treatment outcomes such as surgery success rate, operating time, intraoperative and postoperative complications, hospital stay, future fertility, postoperative recurrent ectopic pregnancy, cost-effectiveness in comparison to laparotomy. After analyzing all selected articles, it can be concluded that the laparoscopic management of ectopic pregnancy is safe, effective, and economical in comparision to laparotomy. So, for the patients’ benefit, laparoscopy should be considered as the gold standard method in management of ectopic pregnancy and is worthy to be popularized in clinical practice.
منابع مشابه
FREE USE OF LAPAROSCOPY IN THE MODERN MANAGEMENT OF ECTOPIC PREGNANCY
Regarding the false negative results of culdocentesis, it is believed that the protocol of B-hCG, sonography, D&C and free use of laparoscopy gives more reliable information to the physician than the protocol of B-hCG, sonography and culdocentesis. We used the former protocol on 50 patients suspected of having ectopic pregnancy. The most common diagnoses were EP (48%) and PID (16%), respec...
متن کاملComparison of laparoscopy and laparotomy in the surgical management of ectopic pregnancy.
OBJECTIVE To compare the operative findings, operative procedure and complications, postoperative complications and hospital stay in patients with ectopic pregnancy managed by laparoscopy and conventional laparotomy. STUDY DESIGN A cross-sectional, observational study. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital, Kathmand...
متن کاملP-171: Pregnancy Rate after Laparoscopy in Infertile Women
Background: Infertility not only as a disease but also as a serious problem affects the family and harms its health. Approximately 50 to 80 million people in the world suffer from infertility. Laparoscopy is a golden standard which helps diagnose peritoneal and the fallopian tubal problems and treat them. Materials and Methods: In this cross-sectional study, 162 infertile women referring to the...
متن کاملThe role of laparoscopy in the diagnosis and management of heterotopic pregnancies.
The object of this report is to discuss diagnosis and treatment of heterotopic pregnancies. Thirteen consecutive cases referred to our institution are reviewed. In 54% of cases the heterotopic pregnancy was asymptomatic. The ectopic pregnancy was visualized prior to surgery in 69% of the cases. The treatment was surgical in every case and performed laparoscopically in 77% of cases. Ten patients...
متن کاملCesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy.
Pregnancy in a cesarean scar is the rarest form of an ectopic pregnancy. The treatment for cesarean scar pregnancy mainly includes systemic methotrexate and uterine artery embolization. Here, we reported a case of cesarean scar pregnancy treated by curettage and aspiration guided by laparoscopy. The treatment plan included two phases. Three days after a combination of methotrexate and mifeprist...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2015