Abstract: Aims and objectives:
The main aim of the present study is to analyze the role of operative laparoscopy in ectopic pregnancy in a developing country, to study the clinical profile of patients and procedures done for ectopic pregnancy and to analyze the safety of procedure for patients by assessing the complications and the duration of stay in hospital after surgery.
Materials and methods: This retrospective observational study was conducted in the department of Obstetrics and Gynaecology, Pt. BD Sharma PGIMS, Rohtak on all laparoscopies conducted in cases of ectopic pregnancies in 5 years.
Observations: Out of 553 laparoscopic surgeries, 59 patients were managed laparoscopically for ectopic pregnancy. Mean age was 26.63±4.73 years. Most common presenting complaint was pain (98% cases). Ampullary region of fallopian tube being most common site in 44 cases (76.75%). 17 patients (29%) were managed with conservative surgery, i.e. salpingostomy. Salpingectomy was done in 38% of patients. Twelve patients (20%) required conversion to laparotomy. Mean length of hospital stay was 4.36±2.05 days.
Discussion: The most common EP location is in the fallopian tube, predominantly the ampullary region of the fallopian tube. The laparoscopic approach is emerging as the gold standard for the management of ectopic pregnancy. Even though it is tough to manage all ectopic pregnancies laparoscopically, unnecessary laparotomies can be avoided by increasing the training of consultants, registrars and postgraduate students. Timely diagnosis at an early stage and management with laparoscopy reduces the patient morbidity and short hospital stay can reduce the burden of cost of treatment in low resource settings.