Role of Laparoscopy in Management of Ectopic Pregnancy

Hasina Banu,Ju Wen Hui,Liu Hua

doi:10.3329/jemc.v5i3.24750

Abstract

Ectopic pregnancy means implantation of fertilized ovum outside the endometrial lining of the uterus. It remains the leading cause of early pregnancy-related death. Delay in diagnosis and treatment puts the life of women at risk. Laparoscopic surgery is increasingly becoming the preferred approach for ectopic pregnancy management. Laparoscopic treatment in ectopic pregnancy raises question of safety and feasibility when compared to laparotomy. In this review article our objective is to summarize the role of laparoscopy in management of ectopic pregnancy in comparison to laparotomy. For this, a literature search was done by using Google and PubMed. The selected articles were analyzed on laparoscopic treatment outcomes such as surgery success rate, operating time, intraoperative and postoperative complications, hospital stay, future fertility, postoperative recurrent ectopic pregnancy, cost-effectiveness in comparison to laparotomy. After analyzing all selected articles, it can be concluded that the laparoscopic management of ectopic pregnancy is safe, effective, and economical in comparision to laparotomy. So, for the patients benefit, laparoscopy should be considered as the gold standard method in management of ectopic pregnancy and is worthy to be popularized in clinical practice.J Enam Med Col 2015; 5(3): 170-174

Highlights

An ectopic pregnancy is defined as implantation of a fertilized ovum outside the endometrial lining of the uterus.[1]
Stable patients were managed by laparoscopy and unstable patients were managed by laparotomy
The author found that the patients who had undergone laparoscopic treatment for the previous ectopic pregnancy had less adhesion than the laparotomy treated group patients

Summary

Introduction

An ectopic pregnancy is defined as implantation of a fertilized ovum outside the endometrial lining of the uterus.[1]. Several developments in treatment of ectopic pregnancy have led to remarkable success in the mother’s life. Further developments recently have resulted in a shift in focus from saving the mothers’ life to saving the women’s fertility.[4] Traditionally, ectopic pregnancy was treated by laparotomy. John Burd, a surgeon in New York, reported the first successful surgical intervention to treat ectopic pregnancy in 1759.5 Currently laparoscopy is gaining significant popularity in management of ectopic pregnancy.[5,6,7] Laparoscopic surgery was first reported by Bhuhout et al in 1980.8 Laparoscopic surgery has advantage of shorter operative time, less blood loss, fewer analgesic requirements, shorter hospital stay and more cost effective than laparotomy.

Objectives

Results

Conclusion