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 82
- Downloads 0
Assessment of quality of life among plantation workersusing WHOQOL-BREF
Introduction: The progress to evidence based practice of medicine implies the need for shift from recognizing disease to risk factor identification for early preventive management. Health status measures, which are multi...
Socio-demographic and clinical profile of male subjects attending a psychiatry OPD with sexual problems in north India
Sexual dysfunction covers the various ways in which an individual is unable to participate in a sexual relationship as he or she would wish, occurring frequently, but may be absent on some occasions. Study population con...
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...
Involvement of bone marrow in various lymphomas - A study of 60 cases
Background: The bone marrow is the site of numerous primary hematopoietic malignancies and also commonly involved by metastatic tumours. Aims and objectives: This study aims to determine the frequency of bone marrow invo...
A comparative study of serum lipoprotein ‘a’ [S(Lp(a)] in type - II diabetic v/s nondiabetic patients with ST-Elevation Myocardial Infarction (STEMI)
Aim: The study was aimed to compare the serum levels of Lp(a) in between diabetic and Nondiabetic patients who presented with STEMI and to study the correlation if any between dyslipoprotien(a)emia and dyslipidemia in pa...