Suchergebnisse

Aims And Objectives:1: To evaluate the role of laparoscopy in the diagnosis and management of ectopic pregnancy. 2: To record the operative findings. Materials And Methods: This prospective observational study was conducted in the Department of Obstetrics and Gynecology, LD Hospital, an associated hospital of Government Medical College Srinagar in patients of ectopic pregnancy between January 2016 to August 2017. 100 consecutive cases of suspected Ectopic pregnancy that were admitted in our hospital as out-patient or emergency basis were recruited for this study. Hemodynamically stable patients who underwent Laparoscopy were included. Results: Out of 100 cases of suspected ectopic pregnancy patients 95 were actually ectopic diagnosed on laparoscopy and 5 patients who were suspected to be ectopic by TVS and beta hCG were not ectopic on laparoscopy .32.6% were ruptured, 58.9% were un ruptured and 8.4% tubal abortion. In 72.6% site of ectopic pregnancy was ampullary ,17.9% were infundibular,8.4% were isthmic and interstitial 1.1%. Salpingectomy was done in 42.1% salpingostomy in 46.3%,and milking in 11.6%. All the hemodynamically stable patients whether ruptured or un ruptured were managed by laparoscopically while as hemodynamically unstable patients were managed by laparotomy. Conclusion: Laparoscopy permits diagnosis and treatment to be combined in the same procedure and ectopic pregnancies can be diagnosed and treated at an early stage. In fact, laparoscopy is not only suitable for early ectopic pregnancies but it is also safe and feasible in instances where there is tubal rupture and hemoperitonium, provided the patient is not severely compromised hemodynamically. The laparoscopic approach is now the gold standard for the treatment of ectopic pregnancy and safer approach than laparotomy.