Ectopic Pregnancy Managed by Laparoscopy and Laparotomy: a Comparative Study in Lampang Hospital
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Abstract
Objective: To compare laparotomy and laparoscopy management undertaken in ectopic pregnancy (EP) at Lampang Hospital.
Material and Methods: A retrospective analytical study was conducted on 149 patients with ectopic pregnancies who had been hospitalized in Lampang Hospital between October 2012 and September 2014. The operative time, length of stay in hospital, volume of blood in the intra-abdominal cavity, and postoperative analgesic drugs used were compared for laparoscopy and laparotomy treatments. Student t-test of means and Fisher’s exact probability test were used for the statistical comparison.
Results: The incidence of EP was 1.38% of total life births in Lampang Hospital. Among 149 patients with EP, 44 patients underwent laparoscopy and 105 patients underwent laparotomy. The mean operative time of laparoscopy was significantly longer (62.1±15.7 vs 50.9±15.3 minutes, p<0.001). The amounts of hemoperitoneum and blood loss in laparotomy were significantly greater than in laparoscopy. Percentage of patients required analgesic drugs and blood
transfusion postoperatively were significantly higher in laparotomy (p=0.032 and p<0.001 respectively). However, the length of stay was not significantly different (p=0.209).
Conclusion: Laparoscopy in ectopic pregnancy had better outcomes especially in regard to blood transfusion and postoperative analgesic drugs used, when compared with laparotomy.
Article Details
บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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