LAPAROSCOPIC SURGICAL APPROACH FOR ECTOPIC PREGNANCY

Abstract

ABSTRACTThe objective of our study is evaluation of therapeutic laparoscopy in the treatment of ectopic pregnancy. This is aprospective study carried out for the period from October 2000 till June 2004, in the department of obstetric andGynaecology in Azadi General Hospital in Kirkuk city, north of Iraq. Surgical Laparoscopic approach was performedfor 40 women with the provisional diagnosis of ectopic pregnancy. The duration of the operation ranged between 20-70 minutes. Salpingostomy was carried out for 22 patients (55%), 7 patients (17.5%) had salpingectomy, one patient(2.5%) had fimbrial expression, 3 patients (7.5%) had wedge resection of ovarian ectopic, one patient (2.5%) hadsegmental resection, two patients (5%) had complete tubal abortion with no active bleeding, and 4 patients (10%)were converted to laparotomy. Most of the involved patients had no major intraoperative or postoperativecomplications with shorter hospital stay. Subsequent intrauterine pregnancy rate was 80%. No recurrent ectopic waselected in this series. In conclusion, inspite of the limited number of patients, the obtained results proved theusefulness of operative laparoscopy in the treatment of ectopic pregnancy with maximum safety and efficiency. Thefollow up of patients showed improvement in future fertility. More work is needed to confirm our results.