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Laparoscopic Salpingostomy with Electrocautery in the Management of Tubal Pregnancy
Author(s) -
Wang Iris Y.,
Peat Brian,
Fraser Ian S.
Publication year - 1992
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1992.tb02854.x
Subject(s) - salpingostomy , medicine , diathermy , surgery , ectopic pregnancy , laparoscopy , fallopian tube , pregnancy , laparoscopic surgery , general surgery , genetics , biology
Summary: From August, 1990 to May, 1991, all cases of tubal pregnancy presenting to King George V Hospital for Mothers and Infants were considered for laparoscopic salpingostomy. This procedure involved opening the affected Fallopian tube with diathermy, removal of ectopic tissue via the laparoscope, achieving haemostasis and leaving the tubal incision to heal by secondary intention. The procedure was undertaken in 35 patients and was successfully performed in 31 patients with an average operating time of 66.4 minutes (± 20.1 minutes). Average hospital stay was 2.1 days (± 1.3). This paper examines the technique and results of the initial learning curve for laparoscopic salpingostomy and finds that with knowledge of potential hazards and care in surgery, this operation can be safely carried out in a selected group of patients.