A comparative assessment of laparoscopy and laparotomy for ruptured tubal ectopic pregnancy

Abstract

Background: Ectopic pregnancy is one of the most emergency condition during the pregnancy period, in which the fertilized egg implanted outside the uterine cavity. The present study was conducted to compare laparoscopy and laparotomy for ruptured tubal ectopic pregnancy. Materials & Methods: 92 patients of ectopic pregnancy were divided into 2 groups of 46 each. Group I patients were managed with Laparoscopy and group II with Laparotomy. Parameters such as gravida, parity, previous spontaneous loss, previous MTP, Hb at admission, period of gestation, total blood loss and hemoperitoneum were recorded. Results: The mean age in group I was 31.1 years and in group II was 32.4 years, parity was 1 in each group, gravida was 2 and 3, previous spontaneous loss (%) was 14.5 and 21.6, Hb at admission (mg) was 7.5 and 8.2, previous MTP (%) was seen in 16.7 and 18.2, acute abdomen (%) was seen in 82 and 70 and incidental (%) was 14 and 28 in group I and II respectively (P< 0.05). The location was ampula in 56% and 60%, corneal in 12% and 15%, fimbrial in 11% and 11%, interstitial in 21% and 14%. No of PRBC transfusions (%) was 11.2 and 13.4 and duration of hospital stay was 4.1 days and 7.3 days in group I and II respectively. The difference was significant (P< 0.05). Conclusion: Laparoscopy was advantageous over laparotomy in terms of shorter hospital stay and speedy recovery.