Surgical Precision — Laparoscopy’s Edge in Ectopic Pregnancy Treatment

Résumé

Introduction: There is a widespread belief that salpingostomy is the treatment of choice for ectopic pregnancy. The ability to treat most ectopic pregnancies via a laparoscopic approach has been a major advance in gynecological surgery. Although it is clear that laparoscopic treatments are preferable to laparotomy there is no consensus on whether salpingectomy or salpingostomy should be performed, despite over 40 years of research since the introduction of conservative tubal treatment. Methods and Materials: This retrospective single-center clinical study was conducted in a private Hospital, Cumilla, Bangladesh, from January 2022 to June 2023.  Results: This minimally invasive technique demonstrated exceptional efficacy and safety in the cohort of 17 patients, aged 18-38, with suspected ectopic pregnancies. The consistent success of laparoscopic salpingectomy, regardless of pregnancy history or ectopic site is noteworthy. The advantages of laparoscopy were evident in the absence of major complications or wound infections. Furthermore, the prompt recovery, as evidenced by the timely removal of the drain tube and stitches, underscores the benefits of this approach. The remarkable outcome of two patients conceiving post-salpingectomy adds an additional layer of significance to the laparoscopic technique. Conclusion: Our study reaffirms that laparoscopy stands as the superior approach in the treatment of ectopic pregnancies. Its minimally invasive nature, coupled with its precision and excellent postoperative outcomes, position it as the gold standard for this critical condition.