Journal of AdvancedMedical and Dental Sciences Research

Aim:To compare open and minimal invasive surgery in ruptured tubal ectopic pregnancy. Methodology:86 cases of ruptured tubal ectopic pregnancieswere divided into two groups of forty-three patients each. Patients in groups I and II had laparotomies and laparoscopies, respectively. Parameters like hemoperitonium, gravida, parity, past spontaneous loss, previous MTP, and length of hospital stay etc. were recorded. Results:The mean parity was 2 in group I and 3 in group II, gravida was 2 in group I and 4 in group II, Hb at admission was 7.6 gm% in group I and 8.2 gm% in group II. Previous spontaneous loss was seen in 7.4 ml in group I and 14.2 ml in group II, previous MTP was seen in 9.2 in group I and 11.8 in group II. A significantdifference was found (P< 0.05). The period of gestation was <6 weeks seen in 17patients in group I and 20patients in group II, 6-10 weeks in 18patients in group I and 12 patients in group II and >10 weeks in 8 patients in group I and 10patients in group II. The total blood loss was <500 ml seen in 11patients in group I and 15patients in group II, 500-1000 ml in 17patients in group I and 12patients in group II and >1000 ml in 15patients in group I and 16patients in group II. The presentation was acute abdomen in 31patients in group I and 29 patients in group II and incidental 12patients in group I and 13 patients in group II. The location was ampulla seen in 12 patients and 13 patients in group II, cornualin 11 patients in group I and 10 patients in group II, fimbrial in 9 patients in group I and 8 patients in group II and interstitial in 10 patients in group I and 12 patients in group II.The difference was significant (P< 0.05). The number of PRBC transfusions was in 5 patients in group I and 7 in group II and the duration of hospital stay was 4.1 days in group I and and 7.3 days in group II. The difference was significant (P< 0.05). Conclusion:In terms of a quicker recovery and shorter hospital stay laparoscopy proved superiorthan a laparotomy in patients with ruptured tubal ectopic pregnancy.