Abstract
Objective: To compare laparotomy and laparoscopic management of interstitial ectopic pregnancies. Study design: The medical records of 109 patients diagnosed with interstitial ectopic pregnancies at the Korea University Medical Center, the Republic of South Korea, between January 1998 and October 2009 were reviewed retrospectively. Eighty-eight women were treated by open cornual resection or laparoscopic cornual resection. A case-controlled study was performed. The outcomes were operative time, length of hospital stay, estimated blood loss, blood transfusion, and complication. Nominal variables were analyzed by the Fisher's exact test or the χ2 test. Results: The frequency of cornual ectopic pregnancies was 4.31% at this medical center. In patients with a cornual resection, primary laparotomy was performed in 49 women and laparoscopy was performed in 39 women. Laparoscopy was converted to laparotomy in five patients. There were no statistically significant differences between the two groups for the mean operation time, estimated blood loss, blood loss of more than 1000 mL, blood transfusion requirements, and complications. The mean number of postoperative hospital days was shorter in the laparoscopy group than in the laparotomy group (4.53 ± 1.44 days versus 5.89 ± 1.86 days, respectively; P < 0.001). Conclusion: Laparoscopic cornual resection is a safe and less invasive procedure with a reasonable complication rate and shorter hospital stay.
| Original language | English |
|---|---|
| Pages (from-to) | 78-82 |
| Number of pages | 5 |
| Journal | European Journal of Obstetrics Gynecology and Reproductive Biology |
| Volume | 156 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2011 May 1 |
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Keywords
- Interstitial ectopic pregnancy
- Laparoscopic cornual resection
- Open cornual resection
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology
Cite this
Open cornual resection versus laparoscopic cornual resection in patients with interstitial ectopic pregnancies. / Hwang, Jong Ha; Lee, Jae Kwan; Lee, Nak Woo; Lee, Kyu Wan.
In: European Journal of Obstetrics Gynecology and Reproductive Biology, Vol. 156, No. 1, 01.05.2011, p. 78-82.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Open cornual resection versus laparoscopic cornual resection in patients with interstitial ectopic pregnancies
AU - Hwang, Jong Ha
AU - Lee, Jae Kwan
AU - Lee, Nak Woo
AU - Lee, Kyu Wan
PY - 2011/5/1
Y1 - 2011/5/1
N2 - Objective: To compare laparotomy and laparoscopic management of interstitial ectopic pregnancies. Study design: The medical records of 109 patients diagnosed with interstitial ectopic pregnancies at the Korea University Medical Center, the Republic of South Korea, between January 1998 and October 2009 were reviewed retrospectively. Eighty-eight women were treated by open cornual resection or laparoscopic cornual resection. A case-controlled study was performed. The outcomes were operative time, length of hospital stay, estimated blood loss, blood transfusion, and complication. Nominal variables were analyzed by the Fisher's exact test or the χ2 test. Results: The frequency of cornual ectopic pregnancies was 4.31% at this medical center. In patients with a cornual resection, primary laparotomy was performed in 49 women and laparoscopy was performed in 39 women. Laparoscopy was converted to laparotomy in five patients. There were no statistically significant differences between the two groups for the mean operation time, estimated blood loss, blood loss of more than 1000 mL, blood transfusion requirements, and complications. The mean number of postoperative hospital days was shorter in the laparoscopy group than in the laparotomy group (4.53 ± 1.44 days versus 5.89 ± 1.86 days, respectively; P < 0.001). Conclusion: Laparoscopic cornual resection is a safe and less invasive procedure with a reasonable complication rate and shorter hospital stay.
AB - Objective: To compare laparotomy and laparoscopic management of interstitial ectopic pregnancies. Study design: The medical records of 109 patients diagnosed with interstitial ectopic pregnancies at the Korea University Medical Center, the Republic of South Korea, between January 1998 and October 2009 were reviewed retrospectively. Eighty-eight women were treated by open cornual resection or laparoscopic cornual resection. A case-controlled study was performed. The outcomes were operative time, length of hospital stay, estimated blood loss, blood transfusion, and complication. Nominal variables were analyzed by the Fisher's exact test or the χ2 test. Results: The frequency of cornual ectopic pregnancies was 4.31% at this medical center. In patients with a cornual resection, primary laparotomy was performed in 49 women and laparoscopy was performed in 39 women. Laparoscopy was converted to laparotomy in five patients. There were no statistically significant differences between the two groups for the mean operation time, estimated blood loss, blood loss of more than 1000 mL, blood transfusion requirements, and complications. The mean number of postoperative hospital days was shorter in the laparoscopy group than in the laparotomy group (4.53 ± 1.44 days versus 5.89 ± 1.86 days, respectively; P < 0.001). Conclusion: Laparoscopic cornual resection is a safe and less invasive procedure with a reasonable complication rate and shorter hospital stay.
KW - Interstitial ectopic pregnancy
KW - Laparoscopic cornual resection
KW - Open cornual resection
UR - http://www.scopus.com/inward/record.url?scp=79955609640&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79955609640&partnerID=8YFLogxK
U2 - 10.1016/j.ejogrb.2010.12.014
DO - 10.1016/j.ejogrb.2010.12.014
M3 - Article
C2 - 21236556
AN - SCOPUS:79955609640
VL - 156
SP - 78
EP - 82
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
SN - 0028-2243
IS - 1
ER -