Volume : 6, Issue : 11, November - 2017

STUDY OF ECTOPICS IN EMERGENCY SURGICAL ADMISSIONS

Dr. V. Archana, Dr. G. Soumini Ficog

Abstract :

Aims &OBJECTIVES: <p class="MsoNormal" style="margin: 0in 3pt 0.0001pt 0in; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">  Ectopic pregnancy continues to be a leading cause of maternal morbidity and tubal rupture it is still a life threatening complication. The  objectives of present study are to evaluate maternal obstetric  related risk factors with respect to ectopic pregnancy. and  various clinical presentation and  modalities of treatment of ectopic pregnancy maternal outcome <o:p></o:p> METHODS: <o:p></o:p> A total of 124 pregnant women with ectopic pregnancy were included in the<o:p></o:p>   study [ 5.9 per 1000 pregnancies] , admitted as emergency cases from December 2014<o:p></o:p>   to September2016 at Government General hospital, Kakinada,  attached to Rangaraya<o:p></o:p>   Medical College ,a teaching &referral  hospital with more rural patients and  referrals. A<o:p></o:p>   detailed history and clinical evaluation was done Diagnosis is done by urine pregnancy<o:p></o:p>   test,culdocentesis paracentesis,USG.All patients were subjected to laparotomy.<o:p></o:p>   Admissions   were  analysed for  obstetric risk factors, clinical<o:p></o:p>   presentation ,gestational  age,surgical procedures and maternal outcome.Results were<o:p></o:p>   statistically analysed with SPSSversion.<o:p></o:p> <p class="MsoNormal" style="margin: 0in 3pt 0.0001pt 0in; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">  <p class="MsoNormal" style="margin: 0in 3pt 0.0001pt 0in; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">  <p class="MsoNormal" style="margin: 0in 3pt 0.0001pt 0in; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">RESULTS<o:p></o:p> The most common age of women was between 25-30yrs ,mean age of 26.5 yrsunbooked AN cases.  The mean  gestational age with ruptured tube was 7.2 +/- 2.2 weeks in 61%.Pain abdomen and bleeding PV were common symptoms in 92.7%. . Most common site is tube (97.5%) more so at Ampullary ectopics accounted to 66.29%. Isthmus 16.1%, fimial,12.9% ovarian 0.8%  and Heterotropic 0.8% Tubal rupture was more often in women with multiparous women in 68.5% .History of ectopic pregnancy was found in 35%. Post tubectomy 29.3 %., pelvic inflammatory disease24.2% There were no cases of infertility  under evaluation and treatment. In 86.2% of cases had haemoperitoneum was more than 250 ml.  Salpingectomy is the most common treatment done in 72.58%. Anaemia Paralytic ileus were common postoperative complications There were 3 cases of maternal deaths: due to  haemorrhagic shock ,septicaemia with renal failure,ventilator associated  pneumonia.<o:p></o:p> <p class="MsoNormal" style="margin-bottom: 6pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.<o:p></o:p> CONCLUSION: Management of Ectopic gestation  has changed from radical to conservative medical and minimally invasive surgical methods.But in the present study most of the patients presented late with ruptured variety, underwent emergency surgery.Improvement in health seeking behaviour,.high degree of suspicion,timely recognition and intervention are required in obstetric ectopic emergencies to reduce maternal morbidity and mortality.<o:p></o:p>

Keywords :

ectopic pregnancy tubal rupture morbidity

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

DR.V.ARCHANA, DR.G.SOUMINI FICOG, STUDY OF ECTOPICS IN EMERGENCY SURGICAL ADMISSIONS, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6, ISSUE-11, NOVEMBER-2017