Abstract
Study objective: To review the changing trends in the surgical management of ectopic pregnancy and to evaluate the effect of an ongoing training program for resident surgeons on the rate and success of laparoscopic surgery. Design: Retrospective chart review (Canadian Task Force classification II-3). Setting: University tertiary medical center. Patients: One thousand forty-six patients with ectopic pregnancy treated at Jackson Memorial Hospital from January 1, 1995, through December 31, 2004. Intervention: A formal, ongoing laparoscopic training program was established in 1999. Measurements: The rate of laparoscopy, laparotomy, and conversion for each year was compared with the baseline year of 1995 and between the years before and after the establishment of the training program. Results: Four hundred sixty-eight laparotomies and 578 laparoscopies were successfully completed. The laparoscopic approach rate has increased from 40.9% in 1995 to 86.3% in 2004. By year 2000 and thereafter, significantly more ectopic surgeries were approached through the laparoscope compared with in 1995 (p<.01). By 2000 and thereafter, significantly less conversions occurred compared with the baseline year of 1995 (4.0% vs 18.5%; p = .01). Conclusion: Laparoscopy became the primary approach for the management of ectopic pregnancy in part because of resident participation in an ongoing laparoscopy training program.
| Original language | English |
|---|---|
| Pages (from-to) | 175-177 |
| Number of pages | 3 |
| Journal | Journal of Minimally Invasive Gynecology |
| Volume | 13 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 1 2006 |
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Keywords
- Ectopic pregnancy
- Laparoscopy
- Laparotomy
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Laparotomy to laparoscopy : Changing trends in the surgical management of ectopic pregnancy in a tertiary care teaching hospital. / Takacs, Peter; Chakhtoura, Nahida.
In: Journal of Minimally Invasive Gynecology, Vol. 13, No. 3, 01.06.2006, p. 175-177.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparotomy to laparoscopy
T2 - Changing trends in the surgical management of ectopic pregnancy in a tertiary care teaching hospital
AU - Takacs, Peter
AU - Chakhtoura, Nahida
PY - 2006/6/1
Y1 - 2006/6/1
N2 - Study objective: To review the changing trends in the surgical management of ectopic pregnancy and to evaluate the effect of an ongoing training program for resident surgeons on the rate and success of laparoscopic surgery. Design: Retrospective chart review (Canadian Task Force classification II-3). Setting: University tertiary medical center. Patients: One thousand forty-six patients with ectopic pregnancy treated at Jackson Memorial Hospital from January 1, 1995, through December 31, 2004. Intervention: A formal, ongoing laparoscopic training program was established in 1999. Measurements: The rate of laparoscopy, laparotomy, and conversion for each year was compared with the baseline year of 1995 and between the years before and after the establishment of the training program. Results: Four hundred sixty-eight laparotomies and 578 laparoscopies were successfully completed. The laparoscopic approach rate has increased from 40.9% in 1995 to 86.3% in 2004. By year 2000 and thereafter, significantly more ectopic surgeries were approached through the laparoscope compared with in 1995 (p<.01). By 2000 and thereafter, significantly less conversions occurred compared with the baseline year of 1995 (4.0% vs 18.5%; p = .01). Conclusion: Laparoscopy became the primary approach for the management of ectopic pregnancy in part because of resident participation in an ongoing laparoscopy training program.
AB - Study objective: To review the changing trends in the surgical management of ectopic pregnancy and to evaluate the effect of an ongoing training program for resident surgeons on the rate and success of laparoscopic surgery. Design: Retrospective chart review (Canadian Task Force classification II-3). Setting: University tertiary medical center. Patients: One thousand forty-six patients with ectopic pregnancy treated at Jackson Memorial Hospital from January 1, 1995, through December 31, 2004. Intervention: A formal, ongoing laparoscopic training program was established in 1999. Measurements: The rate of laparoscopy, laparotomy, and conversion for each year was compared with the baseline year of 1995 and between the years before and after the establishment of the training program. Results: Four hundred sixty-eight laparotomies and 578 laparoscopies were successfully completed. The laparoscopic approach rate has increased from 40.9% in 1995 to 86.3% in 2004. By year 2000 and thereafter, significantly more ectopic surgeries were approached through the laparoscope compared with in 1995 (p<.01). By 2000 and thereafter, significantly less conversions occurred compared with the baseline year of 1995 (4.0% vs 18.5%; p = .01). Conclusion: Laparoscopy became the primary approach for the management of ectopic pregnancy in part because of resident participation in an ongoing laparoscopy training program.
KW - Ectopic pregnancy
KW - Laparoscopy
KW - Laparotomy
UR - http://www.scopus.com/inward/record.url?scp=33646365594&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33646365594&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2006.01.007
DO - 10.1016/j.jmig.2006.01.007
M3 - Article
C2 - 16698520
AN - SCOPUS:33646365594
VL - 13
SP - 175
EP - 177
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
SN - 1553-4650
IS - 3
ER -