Open AccessLaparoscopic surgery in ectopic pregnancy: A randomized trial versus laparotomy
Author(s) -
Lundorff Per,
Thorburn Jane,
Hahlin Mats,
Källfelt Bjorn,
Lindblom Bo
Publication year - 1991
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016349109007885
Subject(s) - medicine , laparotomy , convalescence , ectopic pregnancy , laparoscopy , gestational sac , gestation , surgery , randomized controlled trial , gestational age , prospective cohort study , laparoscopic surgery , pregnancy , genetics , biology
A randomized, prospective clinical trial was conducted to compare the efficacy of laparoscopic treatment with conventional conservative abdominal surgery for tubal pregnancy. Entry criteria were: size of the ectopic gestation < 4 cm, hemodynamic stability, accessibility for laparoscopic treatment and a trained laparoscopist on duty. There was no difference between the groups regarding gestational duration, size and location of the ectopic gestation, or the mean preoperative hCG values. The groups differed with respect to total operation time (73 min for the laparoscopy group vs. 88 min for the laparotomy group), hospital stay (2.2 vs. 5.4 days) and convalescence period (11 vs. 24 days). The rates of elimination of hCG was similar in the groups, and there were no statistical difference in the rate of second intervention.