Laparoscopy Vs Laparotomy for the Management of Chronic Ectopic Pregnacy

Abstract

Introduction: A sizable portion of the fertile population in the US is impacted by ectopic gestation. Ectopic pregnancy (EP) has become more common in recent years. It currently makes up more than 1% of all pregnancies that are recorded. Enhancements in the management of ectopic pregnancy have been pursued in order to lower postoperative morbidity and maintain reproductive capacity. The widespread adoption of conservative procedures has been made possible by recent advancements in microsurgical instruments and diagnostic modalities.

Aims: To assess and contrast laparoscopic and laparotomy methods for treating persistent ectopic pregnancy in terms of their efficacy, safety, and results.

Materials & Methods: The present study was a Comparative Cohort Study. This Study was conducted from One year. Total 100 patients were included in this study.

Result: Over 21 months, 89 patients with 91 suspected EPs presented to UCSD Medical Center and were considered for inclusion in the study. Sixteen pa- tients (18%) were primarily excluded because of un- stable vital signs. Two patients were excluded be- cause their private referring physicians requested exclusion from the study. The study population consisted of 73 EPs. Of these women, 50% were His- panic, 35% were white, and 15% were black or Asian.

Conclusion: Because of its benefits for patient satisfaction, safety, and recuperation, laparoscopy is frequently the method of choice for treating persistent ectopic pregnancy. In some clinical situations, laparotomy is still a viable choice. Future research should focus on large-scale, randomized trials to validate these findings and further refine surgical strategies in the management of ectopic pregnancies.