Abstract
Objective:The advantages of laparoscopic surgery used in the treatment of ectopic pregnancy is well-known; however, the efficacy of uterine manipulators remains unknown. In this study, we aimed to investigate the efficacy of uterine manipulators in the laparoscopic treatment of ectopic pregnancy.Methods:Overall, 118 patients who underwent laparoscopy due to ectopic pregnancy in Department of Obstetrics and Gynaecology at Tepecik Education and Research Hospital between January 2010 and January 2018 and who met the inclusion criteria were included in the study. Groups of patients undergoing surgery with or without the use of a uterine manipulator were compared in terms of demographic data, operative and postoperative results.Results:No difference was noted between the groups in terms of age, parity, body mass index, smoking, side of ectopic pregnancy mass, previous operations and pregnancy type. However, the size of ectopic pregnancy mass measured by ultrasonography was significantly larger (p = 0.006) and the operation time was significantly shorter (p<0.001) in the group where uterine manipulators were not used than in the uterine manipulator group.Conclusion:We concluded that not using a uterine manipulator in laparoscopic procedures for ectopic pregnancy did not increase operative complications and that operation time was higher in procedures using uterine manipulators.
Highlights
Whether planned or unplanned, approximately 2% of all pregnancies occur outside the uterus, and a long follow-up and treatment process is anticipated in patients diagnosed with ectopic pregnancy
We aimed to demonstrate whether the use of uterine manipulators during laparoscopic salpingectomy or salpingostomy is necessary in the surgical treatment of ectopic pregnancy
The operation time was defined as the time between opening and closing the skin incision, return of bowel function was defined as the first gas passage after extubating the patient, cervical laceration was defined as all cervical lacerations that required intervention during the insertion or removal of uterine manipulators and subcutaneous emphysema was defined as the diffusion of insufflating carbon dioxide during operation within subcutaneous tissues
Summary
Approximately 2% of all pregnancies occur outside the uterus, and a long follow-up and treatment process is anticipated in patients diagnosed with ectopic pregnancy. Patients with contraindications to methotrexate require surgical intervention, and laparoscopy has considerable advantages compared with laparotomy.[4] laparoscopic surgery has its own complications, such as vascular, intestinal, nerve or bladder injuries during. It is thought to provide convenience during surgery, complications such as uterine perforation, uterine vascular, bowel or bladder injuries and vaginal lacerations associated with the use of uterine manipulator and problems such as retention of a part of the uterine manipulator in the vagina can be encountered.[6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
