Comparison between laparotomy and laparoscopy for the management of ruptured ectopic pregnancy

Abstract

Ectopic pregnancy is a pregnancy where the fertilized ovum is implanted and grows outside of the uterine cavity endometrium. In Indonesia, the incidence of ectopic pregnancy is around 5-6 per thousand pregnancy. The purpose of this study is knowing the description and comparison of a few variables towards laparotomy and laparoscopy surgery for the management of ruptured ectopic pregnancy. In this study, a total of 28 samples are acquired from the medical record of KRMT Wongsonegoro General Hospital from the period of July 2018 – July 2019 with total sampling methods. 18 (64, 3%) samples underwent laparotomy and 10 (35, 7%) samples underwent laparoscopy. The majority of patients, 21 (75%) samples, are admitted to the hospital through the emergency room. The most common clinical symptoms are abdominal pain, followed by vaginal bleeding. The majority of samples are hemodynamically stable. The most common site of ruptured ectopic pregnancy is located in tubal. In this study, there is a statistical correlation between transfusion and type of surgery with a p-value of 0,008. Meanwhile, there is no statistical correlation between maternal age, parity, pregnancy weeks, hemoglobin level and duration of postoperative hospital stay with methods of surgery.