ABSTRACT
One hundred and seventeen consecutive patients with diagnosis of ectopic pregnancy admitted to Temple University Hospital between October 1989 and March 1992 were divided into two groups. Group 1 consisted of 56 patients with operative laparoscopy and Group 2 consisted of 61 patients treated by laparotomy. The two groups were similar for age, race, parity, gestation, presentation, and location of the ectopic gestations. Fifty seven percent of patients in the laparoscopy group were treated by salpingectomy and 43% by salpingostomy, compared to 84% and 16% respectively in the laparotomy group. Mean operative time for laparoscopy was 58 min and 42 min for laparotomy. Complication rates were similar in the two sub-groups. Only two patients in the laparoscopy group required subsequent laparotomy, one to assure hemostasis and one, 5 weeks following surgery, for persistent trophoblastic disease. Operative laparoscopy was associated with a significantly shorter length of hospital stay (1.25 v. 4.39 days). This reflected in a lower cost of hospital stay ($10,105 vs. $13,608). The present data demonstrates that operative laparoscopy is not only safe and effective, but also more economical than open laparotomy in the treatment of ectopic pregnancies. This procedure is expected to replace laparotomy for the treatment of most cases of tubal ectopic pregnancy.
Subject(s)
Laparoscopy , Pregnancy, Tubal/surgery , Adolescent , Adult , Costs and Cost Analysis , Electrocoagulation , Fallopian Tubes/surgery , Female , Humans , Laparoscopy/economics , Laparoscopy/methods , Laparoscopy/statistics & numerical data , Laparotomy/economics , Laparotomy/methods , Laparotomy/statistics & numerical data , Laser Therapy , Length of Stay/economics , Length of Stay/statistics & numerical data , Philadelphia , Pregnancy , Pregnancy, Tubal/economics , Salpingostomy/economics , Salpingostomy/methodsABSTRACT
Sixty-two patients were randomized to receive either localized cold therapy to the cesarean section incision or routine postoperative care. Evaluation of the amount of analgesia requested, infection rate, and length of hospital stay did not show a significant difference between the two groups. There is no objective evidence to show that the use of cold therapy in postoperative cesarean section pain relief is beneficial.
Subject(s)
Cesarean Section , Cryotherapy , Pain Management , Postoperative Complications/therapy , Female , Humans , Pregnancy , Prospective StudiesABSTRACT
The May-Hegglin anomaly, a rare cause of thrombocytopenia, is an autosomal dominant disorder that may have adverse maternal and fetal consequences. We present herein a case of May-Hegglin anomaly in pregnancy. The characteristic features of this anomaly, clinical presentation, and management options are discussed.