Journal of AdvancedMedical and Dental Sciences Research

Background: An ectopic pregnancy occurs when a fertilised ovum implants outside the normal uterine cavity. To assess ruptured tubal ectopic pregnancy managed by open and minimal invasive surgery. Methods: The present study comprised of 78 cases of ruptured tubal ectopic pregnancies which were divided into 2 groups of 39 each. Group I patients underwent laparoscopy and group II laparotomy. Parameters such as gravida, parity, previous spontaneous loss, previous MTP, Hb at admission, period of gestation, total blood loss, haemoperitonium and postoperative parameters blood loss, blood requirement and duration of hospital stay were recorded. Results: The mean gravida was 3 in group I and 4 in group II, parity was 1 in group I and 2 in group II, previous spontaneous loss was seen in 7.2 and 15.6, previous MTP was seen in 9.4 in group I and 11.5 in group II and Hb at admission was 7.2 gm% in group I and 8.5 gm% in group II. The presentation was acute abdomen in 30 in group I and 28 in group II and incidental 9 in group I and 11 in group II. Period of gestation was <6 weeks seen in 15 in group I and 18 in group II, 6-10 weeks 16 in group I and 12 in group II and >10 weeks 8 in group I and 9 in group II. Total blood loss was <500 ml 12 in group I and 13 in group II, 500-1000 ml 16 in group I and 13 in group II and >1000 ml 11 in group I and 12 in group II. Hemoperitoneum was seen in 24 in group I and 15 in group II. Location was ampulla in 11 and 13 in group I and group II, cornual in 10 and 8, fimbrial in 6 and 7 and interstitial in 13 and 11. No of PRBC transfusions was 4 and 5.6 and duration of hospital stay was 4.2 days and 7.6 days in group I and II respectively. Conclusion: Laparoscopy was advantageous over laparotomy in terms of shorter hospital stay and speedy recovery.