Management of primary abdominal pregnancy: twelve years of experience in a medical centre.
BACKGROUND
The aim of this study was to evaluate our institution's 12-year experience in managing primary abdominal pregnancy by laparotomy or laparoscopy.


METHODS
We identified 11 cases of primary abdominal pregnancy treated at our institution between January 1994 and December 2005, and separated the cases into 2 groups based on type of surgical management. The outcome measures we evaluated were operative time, blood loss and duration of hospital stay. In addition, the incidence rates for all types of ectopic pregnancy were recorded. Analysis excluded secondary abdominal pregnancy.


RESULTS
Of the 11 primary abdominal pregnancies, 6 were treated with laparotomy and 5 with laparoscopy. The laparoscopy group had significantly better results in operative time, blood loss and hospital stay (p<0.05). The difference in gestational age was not significant (p=0.141), even after excluding the patient whose abdominal pregnancy was only identified after cesarean delivery.


CONCLUSIONS
Our experience shows a trend toward better management of primary abdominal pregnancy with laparoscopy. These patients had shorter operative time, reduced blood loss, and fewer days in hospital then patients treated with laparotomy. Choice of management should depend on the patient's condition, gestational age of the pregnancy, and the physician's clinical experience.
Shaw
Sheng-Wen
SW
Department of Obstetrics and Gynecology, Division of Obstetrics, Chang Gung Memorial Hospital, Linkou Medical Centre, Taoyuan, Taiwan.
Hsu
Jenn-Jeih
JJ
Chueh
Ho-Yen
HY
Han
Chien-Min
CM
Chen
Fang-Chun
FC
Chang
Yao-Lung
YL
Chao
An-Shine
AS
Cheng
Po-Jen
PJ
Hsieh
T'sang-T'ang
TT
Soong
Yung-Kuei
YK
D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome