International Journal of Health and Clinical Research

Yazarlar: Puja Sinha, Madhvi Kumari, Sneha Lata

Konular:-

Anahtar Kelimeler:Laparoscopy,Laparotomy,Maternal outcome,Fetal outcomes,Pregnancy surgery,Non,Bstetric surgery

Özet: Background: The associated risks with pregnancy surgeries are markedly reduced with laparoscopy and using advanced neonatal care units in hospitals and with pre-operative and post-operative intensive care of the female.Aims: The present trial was carried out to assess if laparoscopy in pregnancy is as beneficial compared to open surgery as in non-pregnant subjects including a reduction in surgical time, postoperative infection, and hospital-stay peri-operatively. Materials and Methods: In 48 females, admission for surgery, age, gravid status, twins/single fetus, age of gestation, surgery type, weight, age, hospital stay, intraoperative time and complications, contraction, post-operative complications, time of delivery, and readmissions to the hospital from surgery till delivery. Fetal outcomes: fetal age at delivery, weight at birth, sex, congenital malformations, hospital stay, and perinatal death. The data collected were subjected to statistical evaluation.Results: The results were significant concerning the mean length of stay in the hospital which was 3.8±3.7 for laparoscopy and was 5.4±3.3 for open surgery with a p-value of 0.1207. The time from surgery to delivery for laparoscopy was more with the mean value of 22.1±8.21 with the p-value of 0.0138 which was statistically significant. Post-operative complications were also lesser in the laparoscopic group with 17.6% in laparoscopy and 47.6% in laparotomy. Conclusion: The present study concludes that laparoscopy performed for non-obstetric procedures has superior results compared to open surgery in terms of maternal and fetal outcomes irrespective of the gestational age of delivery, intra-operative time, and fetal death.

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