Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Research ArticleOriginal Article
Open Access

Laparoscopy versus laparotomy management of tubal pregnancy

Ahmed M. Saleh, Mona M. Mahjoub and Ahmed M. El-Kurdy
Saudi Medical Journal September 2001, 22 (9) 771-775;
Ahmed M. Saleh
Department of Obstetrics and Gynecology, Riyadh Armed Forces Hospital, Riyadh 11431, PO Box 1011, Riyadh, Kingdom of Saudi Arabia. Tel. +966 (1) 454-4031. Fax. +966 (1) 453 7462. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Mona M. Mahjoub
Department of Obstetrics and Gynecology, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ahmed M. El-Kurdy
Department of Obstetrics and Gynecology, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

OBJECTIVE: To compare laparoscopy versus laparotomy management of tubal pregnancy and the reproductive outcome.

METHODS: A retrospective chart review of 81 patients admitted for management of tubal pregnancy was carried out at Riyadh Armed Forces Hospital from January 1998 until January 2000. The patients were divided according to surgical procedure performed into: Group I (33 patients) laparoscopy and group II (48 patients) laparotomy. We evaluated pre and postoperative serum b-human chorionic gonadotrophin levels, total operating time, total blood loss or blood transfusion or both, duration of hospital stay, recurrence rates of ectopic pregnancy and future fertility outcome for all patients.

RESULTS: No differences were found between both groups in patient age, parity, size of adnexal mass, condition at the time of presentation, site of tubal pregnancy, previous history of ectopic, pre and postoperative serum b-human chorionic gonadotrophin and the total operating time. There were significant reductions of total blood loss, number of blood transfusion units, and duration of hospital stay, in the laparoscopic group compared to the laparotomy group. A total of 54 patients desired pregnancy, 23 patients in the laparoscopy and 31 patients in the laparotomy group. No significant differences were found in the fertility outcome between both groups. The rates of subsequent intrauterine pregnancy were 74% (17/23) in the laparoscopy group and 61%, (19/31) in the laparotomy group and the rates of subsequent ectopic pregnancy were 4% (1/23) in the laparoscopy group and 10% (3/31) in the laparotomy group.

CONCLUSION: Laparoscopic treatment of ectopic pregnancy in hemodynamically stable patients offers major economic benefits superior to laparotomy in terms of less need for blood transfusion, shorter duration of hospital stay and convalescence.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PreviousNext
Back to top

In this issue

Saudi Medical Journal: 22 (9)
Saudi Medical Journal
Vol. 22, Issue 9
1 Sep 2001
  • Table of Contents
  • Cover (PDF)
  • Index by author
Download PDF
Email Article

Thank you for your interest in spreading the word on Saudi Medical Journal.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Laparoscopy versus laparotomy management of tubal pregnancy
(Your Name) has sent you a message from Saudi Medical Journal
(Your Name) thought you would like to see the Saudi Medical Journal web site.
Citation Tools
Laparoscopy versus laparotomy management of tubal pregnancy
Ahmed M. Saleh, Mona M. Mahjoub, Ahmed M. El-Kurdy
Saudi Medical Journal Sep 2001, 22 (9) 771-775;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Laparoscopy versus laparotomy management of tubal pregnancy
Ahmed M. Saleh, Mona M. Mahjoub, Ahmed M. El-Kurdy
Saudi Medical Journal Sep 2001, 22 (9) 771-775;
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • The risk factors for cardiovascular disease and chronic kidney disease in patients with nonalcoholic fatty liver disease in Saudi Arabia
  • Prolonged flight exposure and its effects on sinonasal health among aircrew members
  • Identifying individuals at risk of post-stroke depression
Show more Original Article

Similar Articles

CONTENT

  • home

JOURNAL

  • home

AUTHORS

  • home
Saudi Medical Journal

© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

Powered by HighWire