Document Detail


Management of primary abdominal pregnancy: twelve years of experience in a medical centre.
MedLine Citation:
PMID:  17712645     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to evaluate our institution's 12-year experience in managing primary abdominal pregnancy by laparotomy or laparoscopy. METHODS: We identified 11 cases of primary abdominal pregnancy treated at our institution between January 1994 and December 2005, and separated the cases into 2 groups based on type of surgical management. The outcome measures we evaluated were operative time, blood loss and duration of hospital stay. In addition, the incidence rates for all types of ectopic pregnancy were recorded. Analysis excluded secondary abdominal pregnancy. RESULTS: Of the 11 primary abdominal pregnancies, 6 were treated with laparotomy and 5 with laparoscopy. The laparoscopy group had significantly better results in operative time, blood loss and hospital stay (p<0.05). The difference in gestational age was not significant (p=0.141), even after excluding the patient whose abdominal pregnancy was only identified after cesarean delivery. CONCLUSION: Our experience shows a trend toward better management of primary abdominal pregnancy with laparoscopy. These patients had shorter operative time, reduced blood loss, and fewer days in hospital then patients treated with laparotomy. Choice of management should depend on the patient's condition, gestational age of the pregnancy, and the physician's clinical experience.
Authors:
Sheng-Wen Shaw; Jenn-Jeih Hsu; Ho-Yen Chueh; Chien-Min Han; Fang-Chun Chen; Yao-Lung Chang; An-Shine Chao; Po-Jen Cheng; T'sang-T'ang Hsieh; Yung-Kuei Soong
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  86     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-22     Completed Date:  2007-11-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  1058-62     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Division of Obstetrics, Chang Gung Memorial Hospital, Linkou Medical Centre, Taoyuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Loss, Surgical*
Female
Humans
Laparoscopy / adverse effects,  methods*
Laparotomy / adverse effects,  methods*
Length of Stay*
Pregnancy
Pregnancy, Abdominal / surgery*
Retrospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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