title: Laparoscopic management of tubal ectopic pregnancy in obese women.
abstract: OBJECTIVE
  To study the surgical morbidity associated with the laparoscopic management of tubal ectopic pregnancy in an overweight population compared with a lean population.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  An academic tertiary referral obstetrics and gynecology center.
  
  
  METHODS
  One hundred seventeen patients in two groups, lean (n = 90; body mass index <or= 30) and obese (n = 27; body mass index >30) who had pathology-confirmed tubal ectopic pregnancies that were managed laparoscopically. Each group was subdivided into a laparoscopically managed group and a group in which laparoscopy was converted to laparotomy.
  
  
  METHODS
  None. Operative time, blood loss, and complications of laparoscopic surgery as well as causes of conversion from laparoscopy to laparotomy, in obese compared with lean women, with ectopic pregnancy.
  
  
  RESULTS
  There was no significant difference in gestational age; beta-hCG level; or history of previous surgeries, ectopic pregnancy, pelvic inflammatory disease, or endometriosis or in any of the studied outcomes (conversion rate, blood loss, and operative time) between the lean and obese groups or their respective subgroups except for operative time between obese women who underwent laparotomy, which was significantly longer when compared with the case of lean women who underwent laparotomy. Intraoperative and postoperative complications were comparable between the lean and obese groups, and all complications occurred in the completed-laparoscopy group.
  
  
  CONCLUSIONS
  Laparoscopic management of tubal ectopic pregnancy does not appear to significantly increase surgical morbidity in obese patients.
authors.affiliation: Department of Gynecology and Obstetrics, University at Buffalo, State University of New York (SUNY), School of Medicine and Biomedical Sciences, Buffalo, New York 14222, USA. hsusz@yahoo.com
authors.forename: Senzan
authors.initials: S
authors.lastname: Hsu
authors.forename: Mohamed F
authors.initials: MF
authors.lastname: Mitwally
authors.forename: Ashraf
authors.initials: A
authors.lastname: Aly
authors.forename: Mazin
authors.initials: M
authors.lastname: Al-Saleh
authors.forename: Ronald E
authors.initials: RE
authors.lastname: Batt
authors.forename: John
authors.initials: J
authors.lastname: Yeh
mesh_terms: D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D009765:Obesity / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000601:surgery; D011274:Pregnancy, Tubal / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome