Minimally invasive management of ectopic pregnancy

Abstract

Objectives: To assess the minimally invasive management and post¬operative period in patients hospitalized with a suspicion of ectopic pregnancy. Materials and Methods: 106 women who underwent a typical laparoscopic surgery due to ectopic pregnancy, from 2018 to 2020, were included in the study. The diagnosis was based on the patient’s history, gynecological exami¬nation, transvaginal ultrasound findings and β hCG concentration. Results: The most common symptom at admission was abnormal uterine bleeding (70.1%). The typical symtoms of amenorrhoea, abnor¬mal bleeding and pain were present in only 26% patients. The ampulla of the Fal¬lopian tube was the most frequent site of implantation in ectopic (59.7%). Salpingectomy was performed in 53.5% of the cases, while salpingotomy in 35%. The postoperative period was generally uneventful in the majority of patients.Conclusions: Early diagnosis is key in facilitating safe utilization of more conservative management in the hope of preserving tubal function and reproductive potential.