Recently, pelviscopic surgery trends to increase in world -wide in department of gynecology. Especially, in treatment of ectopic pregnancy, pelviscopic surgery is as effective and safe as treatment with laparotomy and has the advantage of
decrease
in
hospital stay, cost and delay in return to normal activity and of cosmetic effect.
To evaluate the efficacy of pelviscopic surgery in ectopic pregnancy, we have reviewed 137 patients treated by pelviscopic surgery and laparotomy from January 1993 to September 1994.
@ES The results were as follows.
@EN 1. A total of 137 patients were randomized to either pelviscopic surgery(N=95, 69.34%) or laparotomy(N=42, 30.66%).
2. There were no significant differences between the pelviscopic surgery and laparotomy groups in age, weight, parity, gestational age, past history and chief complaint, hematocrits, blood pressure but the estimated blood loss was
significantly(P<0.01)
lower in patients undergoing pelviscopic surgery.
3. In all ectopic gestations, the most common site is ampullar portion(83.21%) and the most common operative procedure is salpingectomy(90.51%).
4. The mean operating time was not significant between pelviscopic surgery(60.9±21.3mins) and laparotomy(62.8±20.9). But the length of hospital stay was significantly (p<0.01) shorter after pelviscopic surgery(3.6±1.0 days) than after
laparotomy(7.0±0.7 days).
5. There were no intraoperative complication in the both groups.
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