Study of role of minimally invasive surgeries in the management of ectopic pregnancy
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 10
Abstract
Introduction: Ectopic pregnancy (EP) can be defined as the implantation of the fertilized ovum at any site other than normal endometrial cavity. The incidence is gradually increasing from 0.5 to 2 per 100 pregnancies. The incidence of EP is increasing worldwide and it reflects an increase in awareness and availability of effective early diagnostic facilities. Incidence varies from country to country and from situation to situation (spontaneous versus assisted pregnancies). Aims and Objective: To study the effectiveness of minimally invasive surgery; Laparoscopy over Laparotomy in ectopic pregnancy. Methodology: This was a hospital based, prospective clinical trial, after approval from the institutional ethical committee, all the patients which suspected as Ectopic pregnancy were diagnosed by the Ultrasonography and Other Hormonal method like Beta HCG level were used to confirm the diagnosis, after confirmation, written consent of the patients or patients relatives were taken then these patients were randomly allotted to Laparoscopy or Laparotomy with 15 patients each in the group ;Total 30. These patients were followed intra-operatively and Post-operatively. The Data was analyzed by unpaired t-test, and z-score by Graph Pad Prism-6. Result: Average age was 26±2.1Yrs. in Laparoscopy and 27± 3.2 Yrs. Laparotomy this difference was not statistically significant, Average Operative time for Laparoscopy was 55± 8.2min and for Laparotomy 38± 5.2min. Which was significantly higher in Laparoscopy (P< 0.0001, t = 6.780, df = 28). Intra-operative bleeding in Laparoscopy was 200±10.5ml and Laparotomy was 500ml±15.3ml (P< 0.0001; t =64.45; df=28); Average hospital stay for Laparoscopy was 3 ±2 Days and for Laparotomy was 6± 3Days Which was statistically significant (P<0.0001; t =3.22; df=28); Average Analgesic required (No. of Tab.) Laparoscopy 10±3 Tabs and 18±4Tabs. For the Laparotomy Which was statistically significant (P<0.0001 ;t = 6.19; df=28); Wound healing (Days) for Laparoscopy 12±2 Days and for Laparotomy was 21±3Days Which was statistically significant (P< 0.0001; t = 9.67; df=28).Overall the 2 (13.33%) complications occurred in Laparoscopy i.e. Wound infection and Mild transfusion reaction while 9(60.00%) complications occurred in Laparotomy group i.e. Wound infection, Mild transfusion reaction, Severe transfusion reaction, Septicemia this observed difference was statistically significant (P<0.0001; Z-score = 2.65). Conclusion: Except average more operative time is required for the laparoscopy compared to Laparotomy; overall the minimally invasive surgery laparoscopy is superior in m any ways like less Intraoperative blood lost,less analgesia is required and less complications and less time required for the wound healing.
Authors and Affiliations
G P Sekar, K G M Premaleela, T Deepu, K Madhu Mitha
Keywords
Related Articles
- EP ID EP193790
- DOI -
- Views 83
- Downloads 0
First nosocomial outbreak of CCHF in Rajasthan: A case report
Crimean-Congo haemorrhagic fever (CCHF) is a tick-borne disease caused by a member of the genus Nairovirus of the family Bunyaviridae. CCHF outbreaks constitute a threat to public health because of its epidemic potential...
The effect of nutritional status of an individual over the eruption of permanent teeth among school children in Chennai
Aim: To correlate the nutritional status of an individual with the timing of the eruption of permanent teeth. Materials and Methods: 963 students from a Government school and a Private school between the age group of 4 a...
A case of eclampsia with cerebral hemorrhage in the postpartum period
Intracerebral hemorrhage is an infrequent but severe complication in pregnant women with hypertension. We describe a typical case of a patient with eclampsia who developed spontaneous intracerebral hemorrhage in the post...
Recurrent and exaggerated secondary vulval lymphoedema with successive pregnancies: An exceptionally rare occurrence
Lymphoedema is swelling due to the excess accumulation of lymph in the tissues caused by inadequate lymph drainage owing to primary or a secondary etiology. Here we present a rare case of secondary lymphoedema of the vul...
The personality profile of euthymic bipolar affective disorder patients at a tertiary care centre
Objective: The purpose of this study was to study the prevalence of personality disorders (PD) in euthymic bipolar affective disorder (BPAD) patients. We also aimed to study the distribution of individual personality dis...