Laparotomy compared with laparoscopy for ectopic pregnancy

DetailsAdditional comments
Review questionWhat is the effectiveness of laparotomy compared with laparoscopic techniques for managing tubal ectopic pregnancy?
ObjectivesTo determine which of the two techniques is associated with better outcomes and fewer adverse effects.Techniques may vary for both approaches. Describe for each study salpingectomy vs. salpingotomy
LanguageEnglish
Study designRCTs
StatusPublished papers
PopulationPopulation includes:

Women with tubal ectopic pregnancy

Population excludes:

Other types of ectopic e.g. corneal/cervical
Report number of ruptured ectopic pregnancies
InterventionLaparotomy for management of ectopic pregnancy
ComparatorLaparoscopy
OutcomesMaternal mortality

Women's views/experiences

Abdominal pain

Need for further surgery (laparotomy/dilatation and curettage)

ITU/HDU admission

Thromboembolic disease

Length of hospital stay

Readmission to hospital

Successful pregnancy in the future

Not having more children

Measures of blood loss (haemorrhage, need for transfusion, haemoglobin)

Infection

Depression

Respiratory morbidity (pulmonary embolism/pneumonia)
Other criteria for inclusion/exclusion of studiesExclude case series

From: Appendix D, Review protocols

Cover of Ectopic Pregnancy and Miscarriage
Ectopic Pregnancy and Miscarriage: Diagnosis and Initial Management in Early Pregnancy of Ectopic Pregnancy and Miscarriage.
NICE Clinical Guidelines, No. 154.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG; 2012 Dec.
Copyright © 2012, National Collaborating Centre for Women's and Children's Health.

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