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Laparoscopic Management of Ectopic Pregnany (EP): Retrospective Analysis of 51 Cases

2010; Elsevier BV; Volume: 17; Issue: 6 Linguagem: Inglês

10.1016/j.jmig.2010.08.406

1553-4669

S.C.V. Archangelo, A.M.C. Francisco,

Ectopic Pregnancy Diagnosis and Management

Study Objective: To determine the outcome of the laparoscopic management of ectopic pregnancy (EP) in a University Hospital.Design: Retrospective analysis of 51 consecutives cases of ectopic pregnancies treated with laparoscopic techniques from 1998 to 2009.Setting: Minimally invasive surgery department of Gynecology and Obstetrics Department of Universidade do Vale do Sapucai- UNIVAS, Pouso Alegre, MG, Brazil.Patients: 51 patients with ectopic pregnancy with indication for laparoscopic management.Intervention: Laparoscopic treatment of ectopic pregnancy.Measurements and Main Results: 51 ectopic pregnancies were treated with laparoscopic surgery .The mean age of patients was 29.6 years (ranging between 45 and 16 years).The symptom that the patient was abdominal pain in 88.3% of cases and in 11.7% of cases the clinical presentation was acute abdominal hemorrhage. In 76% of cases the tube was full, 20% route. In 3.9% of cases the ovarian localization was treated with resection of the implant ectopic. Salpingectomy was performed in 32 (62%), segmental salpingectomy in 4(3.9%), linear salpingostomy in 9(1.6%) and tubal milking in 3(5.9%) of the cases. In 4 (7.8%) patients was necessary conversion to laparotomy for completion of salpingectomy due to excessive bleeding. Of the patients three(3) was submitted to second pregnancy, 2 in contralateral tube and other in the same tube. Eleven of 24 (45.8%) women attempting conception following conservative laparoscopic removal of an ectopic gestation from the sole remaining fallopian tube established an intrauterine pregnancy. In this same group, seven patients (29.2%) had a second ectopic pregnancy.Conclusion: This series demonstrates the relative safety and efficacy of laparoscopic treatment of tubal pregnancies. Study Objective: To determine the outcome of the laparoscopic management of ectopic pregnancy (EP) in a University Hospital. Design: Retrospective analysis of 51 consecutives cases of ectopic pregnancies treated with laparoscopic techniques from 1998 to 2009. Setting: Minimally invasive surgery department of Gynecology and Obstetrics Department of Universidade do Vale do Sapucai- UNIVAS, Pouso Alegre, MG, Brazil. Patients: 51 patients with ectopic pregnancy with indication for laparoscopic management. Intervention: Laparoscopic treatment of ectopic pregnancy. Measurements and Main Results: 51 ectopic pregnancies were treated with laparoscopic surgery .The mean age of patients was 29.6 years (ranging between 45 and 16 years).The symptom that the patient was abdominal pain in 88.3% of cases and in 11.7% of cases the clinical presentation was acute abdominal hemorrhage. In 76% of cases the tube was full, 20% route. In 3.9% of cases the ovarian localization was treated with resection of the implant ectopic. Salpingectomy was performed in 32 (62%), segmental salpingectomy in 4(3.9%), linear salpingostomy in 9(1.6%) and tubal milking in 3(5.9%) of the cases. In 4 (7.8%) patients was necessary conversion to laparotomy for completion of salpingectomy due to excessive bleeding. Of the patients three(3) was submitted to second pregnancy, 2 in contralateral tube and other in the same tube. Eleven of 24 (45.8%) women attempting conception following conservative laparoscopic removal of an ectopic gestation from the sole remaining fallopian tube established an intrauterine pregnancy. In this same group, seven patients (29.2%) had a second ectopic pregnancy. Conclusion: This series demonstrates the relative safety and efficacy of laparoscopic treatment of tubal pregnancies.