AMHSR

Laparoscopic Salpingectomy for Ruptured Tubal Ectopic Pregnancy: A Case Report

Author(s): Joseph Ifeanyichukwu Ikechebelu*, Nkemakolam O. Eke and Chidinma Donatus Okafor

Background: Ectopic pregnancy is one of the commonest causes of first trimester maternal death in developed countries and is second, only to induced abortion in sub-Saharan Africa. Laparoscopic management of ectopic pregnancy has been demonstrated to be safe and an effective alternative to conventional management by laparotomy. Only few cases of laparoscopic salpingectomy have been reported in Sub-Saharan Africa. Methods: Laparoscopic salpingectomy for ruptured tubal ectopic pregnancy using four port technique with carbon dioxide pneumoperitoneum at a private health facility in southeast Nigeria. Results: Successful outcome following laparoscopic surgery for ruptured tubal ectopic gestation. She was discharged home in the first post-operative day. Conclusion: Laparoscopic salpingectomy for management of ruptured tubal ectopic pregnancy is a safe and suitable management option in Sub-Saharan Africa, including Nigeria. There is also associated less need for analgesia, short hospital stay and decreased post-operative morbidity. There is urgent need for training of gynaecologists in minimal access surgical procedures to enable them diagnose and treat such cases with better cosmetic and fertility outcomes.


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