Laparascopy Versus Laparatomy in the Management of Ruptured Ectopic Pregnancy

U

University of Pretoria (UP)

Status

Completed

Conditions

Ruptured Ectopic Pregnancy

Treatments

Procedure: Laparoscopy arm
Procedure: Laparotomy arm

Study type

Interventional

Funder types

Other

Identifiers

NCT01932957
Ectopic Trial

Details and patient eligibility

About

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

Full description

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.

Enrollment

140 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age >18 years
  • Able to give informed consent

must have two of the following three:

  • systolic blood pressure >90 mmHg
  • pulse rate <100 beats per minute
  • heamoglobin >8 g/dL

Exclusion criteria

  • <18 years
  • haemodynamically unstable
  • not able to give informed consent

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

140 participants in 2 patient groups

Laparotomy arm
Other group
Description:
Standard treatment
Treatment:
Procedure: Laparotomy arm
Laparoscopy arm
Experimental group
Description:
Treatment by laparoscopy
Treatment:
Procedure: Laparoscopy arm

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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