Tubal Ectopic Pregnancy: An Evaluation of Laparoscopic Surgery Versus Laparotomy in 614 Patients

Lo, Leslie N. K.; Pun, Ting-Chung; Chan, Sammy Chung Sum

doi:10.1111/j.1479-828x.1999.tb03368.x

Cited by 20 publications

(10 citation statements)

References 4 publications

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“…The available evidence of the preferred mode of surgical treatment for women diagnosed with suspected REP is scanty and consists of retrospective trials, mostly with small numbers. [14] REPs were excluded from the two trials analysed in the Cochrane metaanalysis on this topic. [6,7] Decision-making with regard to surgical treatment of women with REP in resource-poor settings is important and has significant consequences.…”

Section: Researchmentioning

confidence: 99%

“…Randomised controlled trials reporting outcomes of laparoscopic surgery in other gynaecological procedures have also shown longer operating times associated with laparoscopic surgery. [14][15][16][17] In 55% of women, operating time for the laparoscopic procedure was ≤60 minutes. The increase in operating time is to a large extent compensated for by the shorter hospital stay associated with laparoscopy.…”

Section: Researchmentioning

confidence: 99%

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A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy

2017

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Background. Ruptured ectopic pregnancy (REP) is a common gynaecological emergency in resource-poor settings, where laparotomy is the standard treatment despite laparoscopic surgery being regarded as the optimal treatment. There is a lack of prospective randomised data comparing laparoscopic surgery with laparotomy in the surgical management of women with REP. Objective. To compare operative laparoscopy with laparotomy in women with REP. Methods. This was a randomised parallel study. One hundred and forty women with suspected REP were randomised to undergo operative laparoscopy or laparotomy. The outcome measures were operating time, hospital stay, pain scores and analgesic requirements, blood transfusion, time to return to work, and time to full recovery. Results. Operating time was significantly longer in the laparoscopy group (67.3 v. 30.5 minutes, p<0.001). Duration of hospital stay, pain scores and need for analgesia were significantly less in the laparoscopy group. Women in this group returned to work 8 days earlier and their time to full recovery was significantly shorter compared with those in the laparotomy group. Significantly more women undergoing laparotomy required blood transfusion than women in the laparoscopy group. In the latter group, 14.5% of women required blood transfusion compared with 26.5% in the laparotomy group (p=0.01). Conclusion. Operative laparoscopy in women treated for REP is feasible in a resource-poor setting and is associated with significantly less morbidity and a quicker return to economic activity.

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Section: Researchmentioning

confidence: 99%

Section: Researchmentioning

confidence: 99%

A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy

2017

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“…De nombreuses études ont souligné les avantages de la coelioscopie sur la chirurgie ouverte : une réduction des pertes sanguines et des douleurs postopératoires, un préjudice esthétique moindre, une durée d'hospitalisation et de convalescence plus courte [18,19]. Toutefois, son utilisation en gynécologie reste limitée dans certaines interventions nécessi-tant des sutures ou dans la chirurgie de l'endométriose et du cancer en raison de contraintes techniques.…”

Section: Place De L'assistance Robotisée En Chirurgie Gynécologiqueunclassified

Assistance robotisée en chirurgie gynécologique : état des lieux

Monsarrat

Collinet

Narducci

et al. 2009

Gynécologie Obstétrique & Fertilité

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“…It enables faster recovery with shorter hospitalisation, improved cosmesis, decreased blood loss and less post-operative pain. [12]…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional laparoscopy: Principles and practice

Sinha¹,

Raje²,

Rao³

2017

J Min Access Surg

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The largest challenge for laparoscopic surgeons is the eye–hand coordination within a three-dimensional (3D) scene observed on a 2D display. The 2D view on flat screen laparoscopy is cerebrally intensive. The loss of binocular vision on a 2D display causes visual misperceptions, mainly loss of depth perception and adds to the surgeon's fatigue. This compromises the safety of laparoscopy. The 3D high-definition view with great depth perception and tactile feedback makes laparoscopic surgery more acceptable, safe and cost-effective. It improves surgical precision and hand–eye coordination, conventional and all straight stick instruments can be used, capital expenditure is less and recurring cost and annual maintenance cost are less. In this article, we have discussed the physics of 3D laparoscopy, principles of depth perception, and the different kinds of 3D systems available for laparoscopy. We have also discussed our experience of using 3D laparoscopy in over 2000 surgeries in the last 4 years.

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Tubal Ectopic Pregnancy: An Evaluation of Laparoscopic Surgery Versus Laparotomy in 614 Patients

Cited by 20 publications

References 4 publications

A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy

A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy

Assistance robotisée en chirurgie gynécologique : état des lieux

Three-dimensional laparoscopy: Principles and practice

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