Three patients in the laparotomy group required blood transfusion as compared to 2 patients in the laparoscopy group. There was one case of persistent trophoblastic tissue in the series. She was successfully treated with a single dose of intra-muscular methotrexate. Advantages of Laparoscopic Surgery. In this paper, we have demonstrated that EPs can be managed successfully via minimal access surgery in an Irish setting.
Ectopic pregnancy is still a significant cause of maternal death.
However, with newer diagnostic modalities, ectopics can now be diagnosed at an earlier unruptured stage. This means that, in most instances, laparoscopic management is possible. Several large series of laparoscopically managed EPs have been published worldwide. This is, however, the first Irish series. It not only results in reduced hospital stay with associated financial savings but also reduced patient morbidity, enabling women to return to their normal activities much sooner.