International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Open Access | Double Blind 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.


Edition: Volume 4 Issue 11, November 2015,

Pages: 2483 - 2486

How to Download this Article?

You Need to Register Your Email Address Before You Can Download the Article PDF

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), Volume 4 Issue 11, November 2015, pp. 2483-2486,

Similar Articles with Keyword 'ADVANCES'

Downloads: 0

Research Paper, Medical Surgical, Albania, Volume 11 Issue 11, November 2022

Pages: 119 - 125

Outcome of Surgical Intervention for Bladder Carcinoma

Rezart Xhani [2] | Bajram Bega [2]

Share this Article

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