Acute Ruptured Ectopic Pregnancy: A Comparative Study between Salpingectomy without Mopping and Salpingectomy with Mopping
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 5
Abstract
Introduction: Acute ruptured ectopic pregnancy represents a serious hazard to women’s health and their reproductive potential requiring prompt recognition and aggressive intervention. Study aimed to compare the results of salpingectomy done without mopping and intraperitoneal drain; and salpingectomy done with mopping and intraperitoneal drain in cases of acute ruptured ectopic pregnancy. Material and Methods: The comparative study has been done at Department of Obstetrics and Gynaecology, DMCH, from October 2013 to April 2015. Total of 53 patients were included; 33 in the study group and 20 in the control group. In all 53 patients, resuscitation and treatment were done simultaneously. In the study group, salpingectomy was done, clots were removed and blood was left in the peritoneal cavity intentionally (No mopping and no drain). In the control group, salpingectomy was done, clots were removed, mopping was done and intraperitoneal drain was given. Results: In the study group, less blood loss occurred (as blood was left in the peritoneal cavity) and also post operative haemoglobin was 1-1.5 gm% more in the study group than the control group (after adjusting for number of blood transfusions). Conclusion: In cases of acute ruptured ectopic pregnancy, laparotomy done without mopping and drain should be considered as the preferred method over laparotomy done with mopping and drain.
Authors and Affiliations
Alka Sinha, Swet Nisha
Keywords
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