Evaluation of 15 Years Practice of Coelioscopic Treatment of Ectopic Pregnancy in the Surgery Department“A”at the University Hospital Point G

作     者：S.Koumaré L.Soumaré M.Sissoko S.Keita M.Camara O.Sacko A.Camara M.Sima M.Traoré H.Dicko B.Bengali D.Traoré S.Togo D.Koné S.Diallo M.Sangaré A.Koita Z.Z.Sanogo D.Sangaré 

作者机构：Department of Surgery“A”University Hospital of Point GBamakoMali Department of Gynecology-ObstetricsUniversity Hospital of Point GBamakoMali Department of Intensive CareUniversity Hospital of Point GBamakoMali Department of Surgery“B”University Hospital of Point GBamakoMali Department of Thoracic and Cardiovascular SurgeryHospital of MaliBamakoMali Faculty of Medicine and Odontostomatology(FMOS)University of SciencesTechniques and Technologies of Bamako(USTTB)BamakoMali 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2018年第9卷第11期

页      面：454-460页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Ectopic Pregnancy Coelioscopic Surgery“A” CHU Point G 

摘      要：Aim: To evaluate 15 years practice of coelioscopic Treatment of ectopicpregnancy in the Surgery Department “A at the University Hospital Point G. Material and Methods: We conducted a descriptive retrospective study at the Surgery Department “A at the University Hospital Point G from January 2001 to August 2015. Inclusion criteria were all pregnant women with ectopic pregnancy treated with coelioscopy. Sociodemographic, clinical, paracclinical and therapeutic aspects were recorded. Results: In 15 years, 42 cases of ectopic pregnancy out of 3840 gynecologic coelioscopies (1.04%) were collected. The average age was 28.5 years old with the extremes of 16 and 41 years old. Metrorragia was associated to pain in 83.3% (35/42);amenorrhea was found in 66.7% (28/41). Physical exam revealed pain with abdominal defense in 59.5% (25/42), adnexal mass in 31% (13/42), and pelvic contracture in 9.5% (4/42). In pre-operative, ectopic pregnancy was diagnosed complicated in 71.4% (30/42) and uncomplicated in 28.6% (12/42). Patients underwent salpingectomy in 85.7% (36/42), delivery from the fallopian tube in 9.8% (4/42), and hemostatic salpingectomy in 4.4% (2/42). The average duration of hospital stay was 1.88 day with the extremes of 1 and 7 days. The postoperative evolution was favorable in 97.6% (41/42), infection at the site of surgery was reported in 2.4% (1/42). Not a single death was registered. Conclusion: Treatment of ectopic pregnancy is of routine at the surgery department “A in Point G. Fertility is preserved in the future.