Abstract

The objective of this study was to assess the feasibility and effectiveness of laparoscopic surgical administration for patients with ectopic pregnancy. 50 patients underwent laparoscopic management under general anesthesia and all operations were completed in the semi lithotomy position. The laparoscopic surgeries including salpingostomy, salpingectomy, pelvic haematocoele suction and corpus luteum desiccation were performed based on ectopic pregnancy diagnostic stage. The 15 patients undergone laparoscopic salpingectomy among which 2 patients reported ectopic after tubectomy and 2 underwent laparoscopic sterilisation of other tube additionally to salpingectomy. Among 5 patients with infertility, 3 reported extensive injury because of rupture and late reporting while in remaining 2, tube was injured during hemostasis accomplishment. 6 cases reported with tubal abortion among which, 4 patients reported with acute ectopic tubular ovarian masses with fluids in dougla’s pouch. The haematosalpinx was reported in 3 patients that cleared with recurrent saline lavage from fimbrial end and 2 patients reported with acute abdomen with fluid filled inside the paracolic gutters and vigorously bleed by fimbrial end. The average operational duration was found to be 70 to 90 minutes with zero post-operative morbidities. After six weeks, the postoperative β-HCG levels were assessed in the patients undertaken conservative operation called salpingostomy. The comparative studies confirmed that laparoscopic surgery for ectopic pregnancies is more advantages than open surgery and it has been well accepted by the surgeons and patients and a safe and feasible approach in terms of the less post-operative complications and recovery time as well as hospital stay duration.

Key Words: Ectopic pregnancy, laparoscopic surgery