Laparoscopy Versus Laparotomy in the Management of Ectopic Pregnancy
Journal Title: Journal of Islamabad Medical and Dental College - Year 2018, Vol 7, Issue 1
Abstract
Objective:To compare the outcome of laparoscopy with laparotomy in the management of ectopic pregnancy (EP), both ruptured and un-ruptured.Patientsand 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’sstayand estimated blood loss, significant difference (p=0.000) was found betweenthetwo 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.
Authors and Affiliations
Bilal Nazar
Outcome of Chipping Method in Complex Non-Union of Long Bones
Objective: To determine the outcome of chipping method in the treatment of long bones complex non-union with autologous bone graft. Patients and Methods: This interventional study was conducted in orthopedics and trauma...
Frequency of Feeding Problems in Children with Cerebral Palsy
Objective: To determine the frequency of feeding problems in children with cerebral palsy. Patients and Methods: This cross-sectional study was conducted at developmental department of Children Hospital Lahore. Total 30...
Spontaneous Bacterial Peritonitis and its Common Pathogens in HCV Cirrhotic Patients
Objective:To determine the spontaneous bacterial peritonitis and its common pathogens in HCV Cirrhotic patients.Patientsand Methods:This cross-sectional descriptive study was conducted at department of Medicine...
The Rising Global Burden of Hemoglobinopathies, A Challenge and an Opportunity for Health Care in Pakistan
Severe hemoglobinopathies, namely thalassemia major and sickle cell disease, are the most frequent lifethreatening non-communicable disease of children globally: A minimum estimate of 300.000 newborns yearly have some sy...
A Pattern of Antimicrobial Sensitivity and Resistance in Large Series of Indoor Patients ata Tertiary Care Hospital
Objective:In the era of increasing antibiotic resistance, associated with increasing hospital stay and morbidity, the purpose was to define guidelines for antibiotics in different clinical situations.Patien...