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Volume 4 Issue 6 (November - December, 2016)

Original Articles

Assessment of outcome of laparoscopic procedure for ectopic pregnancy
Dr Ravikant Kumar, Dr Namita Kumari, Amit Varshney

Background: Ectopic pregnancy (EP) continues to be a major challenge for gynecologists. The present study was conducted to assess outcome of laparoscopic procedure for Ectopic pregnancy. Materials & Methods: 82 women age ranged 18-40 years with diagnosis of tubal Ectopic pregnancy underwent laparoscopic procedures such as salpingectomy and salpingotomy. Parameters such as evaluation for crude intrauterine pregnancy (IUP), recurrent EP and infertility were recorded. Results: Group I patients underwent Salpingectomy and group II underwent Salpingotomy. Group I had 42 and group II had 40 patients. Common symptoms were pelvic pain seen in 5 in group I and 4 in group II, vaginal bleeding 3 in group I and 5 in group II and asymptomatic seen in 4 in group I and 6 in group II. Gestation was previous pregnancy 34 in group I and 30 in group II, child bearing 26 in group I and 21 in group II and previous abortion 35 in group I and 34 in group II. Localization was ampulla 30 in group I and 28 in group II, isthmus 8 in group I and 10 in group II and fimbriae 4 in group I and 2 in group II. The difference was significant (P< 0.05). Conclusion: Choice of surgical treatment for management of EP should be assessed especially considering patients' desire for future childbearing.

 
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