Abstract
OBJECTIVE: To identify risk factors for conversion to laparotomy during laparoscopic management of ectopic pregnancy. METHODS: A retrospective chart review of patients who underwent laparoscopy for treatment of ectopic pregnancy, during a 32-month period (6/1999-2/2002), at the University of Miami Jackson Memorial Hospital. We identified 229 patients; 201 had a successful laparoscopy (non-converted group) and 28 who were converted to laparotomy (converted group).Variables analyzed between the two groups were demographic data, patient-related risk factors available to the surgeon prior to the surgery (previous laparotomy, previous laparoscopy, history of PID, history of endometriosis, diameter of ectopic pregnancy as measured by ultrasound, amount of free fluid on ultrasound, BMI), and surgeons' experience. RESULTS: Out of the 229 laparoscopies, 28 were converted to laparotomy (12.2%). The rate of conversion was significantly higher for less experienced compared to experienced surgeon (OR = 6.1, 95% CI = 2.35-15.88). Significantly more women had a BMI > 30 kg/m2 in the converted group compared to the non-converted group (42% vs. 14%; OR = 4.28, 95% CI = 1.7-10.75) and the converted group had significantly higher rate of large free fluid reported on ultrasound compared to the non-converted group (21.42% vs. 7.46%; OR = 3.38, 95% CI = 1.04-10.61). CONCLUSION: Less experienced surgeon, BMI > 30 kg/m2, and large amount of free fluid on ultrasound increase the risk of conversion to laparotomy during laparoscopic management of ectopic pregnancy.
| Original language | English |
|---|---|
| Pages (from-to) | 32-34 |
| Number of pages | 3 |
| Journal | Archives of Gynecology and Obstetrics |
| Volume | 273 |
| Issue number | 1 |
| State | Published - Nov 1 2005 |
Fingerprint
ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Risk factors for conversion to laparotomy during laparoscopic management of an ectopic pregnancy. / Takacs, Peter; Latchaw, Greg; Gaitan, Lucia; Chakhtoura, Nahida; De Santis, Timothy.
In: Archives of Gynecology and Obstetrics, Vol. 273, No. 1, 01.11.2005, p. 32-34.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Risk factors for conversion to laparotomy during laparoscopic management of an ectopic pregnancy.
AU - Takacs, Peter
AU - Latchaw, Greg
AU - Gaitan, Lucia
AU - Chakhtoura, Nahida
AU - De Santis, Timothy
PY - 2005/11/1
Y1 - 2005/11/1
N2 - OBJECTIVE: To identify risk factors for conversion to laparotomy during laparoscopic management of ectopic pregnancy. METHODS: A retrospective chart review of patients who underwent laparoscopy for treatment of ectopic pregnancy, during a 32-month period (6/1999-2/2002), at the University of Miami Jackson Memorial Hospital. We identified 229 patients; 201 had a successful laparoscopy (non-converted group) and 28 who were converted to laparotomy (converted group).Variables analyzed between the two groups were demographic data, patient-related risk factors available to the surgeon prior to the surgery (previous laparotomy, previous laparoscopy, history of PID, history of endometriosis, diameter of ectopic pregnancy as measured by ultrasound, amount of free fluid on ultrasound, BMI), and surgeons' experience. RESULTS: Out of the 229 laparoscopies, 28 were converted to laparotomy (12.2%). The rate of conversion was significantly higher for less experienced compared to experienced surgeon (OR = 6.1, 95% CI = 2.35-15.88). Significantly more women had a BMI > 30 kg/m2 in the converted group compared to the non-converted group (42% vs. 14%; OR = 4.28, 95% CI = 1.7-10.75) and the converted group had significantly higher rate of large free fluid reported on ultrasound compared to the non-converted group (21.42% vs. 7.46%; OR = 3.38, 95% CI = 1.04-10.61). CONCLUSION: Less experienced surgeon, BMI > 30 kg/m2, and large amount of free fluid on ultrasound increase the risk of conversion to laparotomy during laparoscopic management of ectopic pregnancy.
AB - OBJECTIVE: To identify risk factors for conversion to laparotomy during laparoscopic management of ectopic pregnancy. METHODS: A retrospective chart review of patients who underwent laparoscopy for treatment of ectopic pregnancy, during a 32-month period (6/1999-2/2002), at the University of Miami Jackson Memorial Hospital. We identified 229 patients; 201 had a successful laparoscopy (non-converted group) and 28 who were converted to laparotomy (converted group).Variables analyzed between the two groups were demographic data, patient-related risk factors available to the surgeon prior to the surgery (previous laparotomy, previous laparoscopy, history of PID, history of endometriosis, diameter of ectopic pregnancy as measured by ultrasound, amount of free fluid on ultrasound, BMI), and surgeons' experience. RESULTS: Out of the 229 laparoscopies, 28 were converted to laparotomy (12.2%). The rate of conversion was significantly higher for less experienced compared to experienced surgeon (OR = 6.1, 95% CI = 2.35-15.88). Significantly more women had a BMI > 30 kg/m2 in the converted group compared to the non-converted group (42% vs. 14%; OR = 4.28, 95% CI = 1.7-10.75) and the converted group had significantly higher rate of large free fluid reported on ultrasound compared to the non-converted group (21.42% vs. 7.46%; OR = 3.38, 95% CI = 1.04-10.61). CONCLUSION: Less experienced surgeon, BMI > 30 kg/m2, and large amount of free fluid on ultrasound increase the risk of conversion to laparotomy during laparoscopic management of ectopic pregnancy.
UR - http://www.scopus.com/inward/record.url?scp=34548062299&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34548062299&partnerID=8YFLogxK
M3 - Article
C2 - 15991011
AN - SCOPUS:34548062299
VL - 273
SP - 32
EP - 34
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
SN - 0932-0067
IS - 1
ER -