1Assistant Professor, Department of Obstetrics and Gynaecology, Shimoga Institute of Medical Sciences, Shimoga, Karnataka, India
2Intern, Department of Obstetrics and Gynaecology, Shimoga Institute of Medical Sciences, Shimoga, Karnataka, India
Ectopic pregnancy (EP) is a rare but life threatening condition which accounts for major cause of death in first trimester. The medical management of EP is still controversial in advanced cases. This study throws light upon the management of EP surgically in both early and advanced cases. Surgical care proves definitive treatment and better outcome in advanced cases.
The study was conducted over a period of 3 years from January 2011 to December 2014 in a tertiary care centre. The cases diagnosed with EP were included in the study and appropriate surgical interventions were done. The observations obtained were analyzed with SPSS software.
A total of 66 cases were evaluated in the study and tubal EP was more common in them (77%) and the mean age of mothers was 26.5 years. Rare extra tubal EP was also seen and specific management with excision of trophoblastic tissue was done but 60% of the tubal EP presented late and Salphingectomy was performed and the rest of 17% cases underwent Salphingostomy.
EP is potential life threatening condition which if treated early has good prognosis. Advanced cases have to be managed with open surgical methods than laparoscopic method rather than controversial medical management.
Ectopic pregnancy, Salphingectomy
