Standard management for patients with ruptured ectopic pregnancies at our institution is treatment by laparotomy. This trail will investigate the feasibility of treatment with laparoscopy and will look at outcomes such as hospital stay and pain experienced The hypothesis is that laparoscopy is a feasible treatment option associated with shorter hospital stay and less pain
Laparoscopic surgery for the surgical management of women diagnosed with ectopic pregnancies has become the standard of care in many institutions around the world. Laparotomy is still the standard of care at Kalafong Hospital. There is very little high quality evidence with regard to the optimal surgical management approach for women with ruptured ectopic pregnancies. The study aims to compare laparotomy with laparoscopy in this group of women with regards to outcomes such as length of hospital stay, number of days off work and pain. This randomised study will be conducted at Kalafong hospital, on 140 patients diagnosed with ruptured ectopic pregnancy who are haemodynamically stable and are able and willing to provide informed consent.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
Laparotomy as standard treatment for ruptured ectopic pregnancy
Laparoscopy as treatment for ruptured ectopic pregnancy
Kalafong Academic Hospital
Pretoria, Gauteng, South Africa
Hospital stay
Hospital stay will be compared between the two groups
Time frame: 5 days
Pain scores
Pain scores b means of visual analog pain scale
Time frame: 24 hours
Theatre time
Theatre times will be measured and compared for the two groups
Time frame: 1 day
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