International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064




Downloads: 119

Case Studies | Medical Surgical | India | Volume 4 Issue 11, November 2015


Study of Advances in Management of 68 Cases of Ectopic Gestation

Jalpa U Shah, Dr Sushma R Shah, Dr Megha S Patel, Dr Shashwat Jani, Shachi Joshi


Abstract: Introduction In recent years due to various reasons and better diagnostic facilities, increased incidence is noted in ectopic gestation. Main objective behind this study is to know the incidence of ectopic pregnancy in various age groups, to study it predisposing factors, its clinical presentation and to study the changing trends of modern obstetric management from radical surgeries to medical and laparoscopic management. Methods A study of 68 cases of tubal ectopic pregnancy was carried out from August 2013 to July 2014 at a tertiary health care center. Patients managed with following modalities were selected for study. (1) Medical management (MXT) (2) Laparoscopic managementsalpingostomy, salpingectomy (3) Laparotomy management salpingostomy, segmental resection, fimbrial expression, salpingectomy. Results Lower abdominal pain was most common presenting symptom of ectopic pregnancy in 88 %cases. The classical triad of symptoms ( amenorrhea, abdominal pain and vaginal bleeding) was present in only 42 % cases. PID contributed 4 % cases and previous abortion contributed 7 % cases indicating these two as the common risk factors. Ampulla was the commonest site of pregnancy, in 63 % cases. Salpingostomy was performed in this site.10 % cases were treated medically (methotrexate). These were the cases having unruptured ectopic pregnancy and ectopic mass <4cm. laparoscopy was done in 10 % cases and oopn laparotomy in 82 % cases. Conclusions ectopic pregnancy is a treatable problem. Ultrasonography plays a central role in the diggnosis ad management. Mode of therapy is determined by a combination of clinical symptoms, USG findings and serum HCG values. Surgical management is still the cornerstone of management of ectopic pregnancy. But new scope of medical and laparoscopic management is also there.


Keywords: ADVANCES MANAGEMENT ECTOPIC PREGNANCY MEDICAL LAPAROSCOPIC LAPAROTOMY


Edition: Volume 4 Issue 11, November 2015,


Pages: 2483 - 2486


How to Cite this Article?

Jalpa U Shah, Dr Sushma R Shah, Dr Megha S Patel, Dr Shashwat Jani, Shachi Joshi, "Study of Advances in Management of 68 Cases of Ectopic Gestation", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=SUB158728, Volume 4 Issue 11, November 2015, 2483 - 2486

How to Share this Article?

Enter Your Email Address


Similar Articles with Keyword 'ADVANCES'

Downloads: 91

Research Paper, Medical Surgical, India, Volume 9 Issue 9, September 2020

Pages: 1158 - 1161

Clinical Evaluation and Management of Ileal Perforation

Pushpalatha Tanakala, K. L. Narasimha Rao, Malsur

Share this Article

Downloads: 107

Research Paper, Medical Surgical, India, Volume 5 Issue 4, April 2016

Pages: 2405 - 2408

Surgical Management and Outcome of Infected Pancreatic Necrosis

Nitin Nangare, Ritvij Patankar, Basavraj Nagur

Share this Article

Similar Articles with Keyword 'MANAGEMENT'

Downloads: 144 | Monthly Hits: ⮙1

Case Studies, Medical Surgical, India, Volume 7 Issue 9, September 2018

Pages: 64 - 66

Successful Laparoscopic Management of Caesarean Scar Pregnancy

Dr. Nagashree.U, Dr. Sumana Manohar

Share this Article

Downloads: 2

Review Papers, Medical Surgical, India, Volume 10 Issue 8, August 2021

Pages: 323 - 329

Review Article on Airway Management Modalities

Pradip Kumar Mishra, Raghavendran M.

Share this Article

Similar Articles with Keyword 'ECTOPIC'

Downloads: 144 | Monthly Hits: ⮙1

Case Studies, Medical Surgical, India, Volume 7 Issue 9, September 2018

Pages: 64 - 66

Successful Laparoscopic Management of Caesarean Scar Pregnancy

Dr. Nagashree.U, Dr. Sumana Manohar

Share this Article

Downloads: 104

Case Studies, Medical Surgical, India, Volume 7 Issue 8, August 2018

Pages: 1189 - 1190

A Case Report of Largest Borderline Axillary Phyllodes - Rare Case

Rajashri Kelkar, Priya Ahire, Mahendra Navare, Tanvi Shah

Share this Article

Similar Articles with Keyword 'PREGNANCY'

Downloads: 144 | Monthly Hits: ⮙1

Case Studies, Medical Surgical, India, Volume 7 Issue 9, September 2018

Pages: 64 - 66

Successful Laparoscopic Management of Caesarean Scar Pregnancy

Dr. Nagashree.U, Dr. Sumana Manohar

Share this Article

Downloads: 44

Research Paper, Medical Surgical, India, Volume 6 Issue 10, October 2017

Pages: 699 - 704

Comparison of Screening for Hyperglycemia in Pregnancy by OGCT v/s HBA1C

Dr. Raikar Namrata Sayiprakash; Dr. Prema D'Cunha

Share this Article

Similar Articles with Keyword 'MEDICAL'

Downloads: 144 | Monthly Hits: ⮙1

Case Studies, Medical Surgical, India, Volume 7 Issue 9, September 2018

Pages: 64 - 66

Successful Laparoscopic Management of Caesarean Scar Pregnancy

Dr. Nagashree.U, Dr. Sumana Manohar

Share this Article

Downloads: 46

Case Studies, Medical Surgical, Argentina, Volume 9 Issue 5, May 2020

Pages: 1465 - 1467

Fronto-Orbito-Maxillary and Cutaneous Mucormicosis: A Case Study

Jose D'Addino, Cristina Grosso, Ana Padula

Share this Article

Similar Articles with Keyword 'LAPAROSCOPIC'

Downloads: 144 | Monthly Hits: ⮙1

Case Studies, Medical Surgical, India, Volume 7 Issue 9, September 2018

Pages: 64 - 66

Successful Laparoscopic Management of Caesarean Scar Pregnancy

Dr. Nagashree.U, Dr. Sumana Manohar

Share this Article

Downloads: 22

Research Paper, Medical Surgical, India, Volume 10 Issue 4, April 2021

Pages: 281 - 283

Intra-Hepatic Perforation of Gall Bladder Causing Liver Abscess Mimicking Malignancy: A Rare Presentation

Dr. Prekshit Chhaparwal, Dr. Ashish Goyal, Dr. Brijesh Kumar Sharma, Dr. M. C. Misra

Share this Article

Similar Articles with Keyword 'LAPAROTOMY'

Downloads: 100

Case Studies, Medical Surgical, India, Volume 6 Issue 8, August 2017

Pages: 2232 - 2235

A Rare Case Report of Gastroduodenal Stromal Tumour: A Diagnostic Dilemma

Dr. Siddharth Vijay Kalke, Dr. S. N. Somashekhar

Share this Article

Downloads: 108

Research Paper, Medical Surgical, India, Volume 6 Issue 5, May 2017

Pages: 1092 - 1095

A Prospective Study of Intra Abdominal Pressure (IAP) Monitoring to Predict Severity and Prognosis in Patients of Acute Severe Pancreatitis

Jitendra Khandelwal, Mudunuri Ravi Teja, Ankur Kothari

Share this Article
Top