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Clinical Trial
. 1992 Jun;57(6):1180-5.
doi: 10.1016/s0015-0282(16)55070-5.

Operative laparoscopy versus laparotomy for the management of ectopic pregnancy: a prospective trial

A A Murphy  1 , C W Nager, J J Wujek, L M Kettel, V A Torp, H G Chin
Affiliations
Free article
Clinical Trial

Operative laparoscopy versus laparotomy for the management of ectopic pregnancy: a prospective trial

A A Murphy et al. Fertil Steril. 1992 Jun.
Free article

Abstract

Study objective: To compare prospectively operative laparoscopy to laparotomy in the management of hemodynamically stable patients with ectopic pregnancy (EP). DESIGN, PATIENTS, Intervention: Patients with suspected EP presenting to a university-based residency teaching program were prospectively allocated to laparoscopy (n = 26) or laparotomy (n = 37) on alternating months for operative management.

Results: Operative times between laparoscopy and laparotomy did not differ significantly. Laparoscopy-treated patients had a significant reduction in estimated intraoperative blood loss, postoperative hospital stay, narcotic requirement, time to normal activity, and total hospital cost. There was no statistical difference in intrauterine pregnancy rates or in EP rates.

Conclusions: In a university-based residency program, operative laparoscopy is a safe alternative for the management of appropriately selected patients with suspected EP.

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