Abstracts

Comparative Study on Surgical Outcomes between Laparoscopic and Open Cornuotomy for Cornual Ectopic Pregnancy of Urban Tertiary Centre in Malaysia

PGY 21 / Gynaecology

1-HABIBAH ABDUL HAMID (corresponding author) - H Abdul Hamid, Obstetrics & Gynecology Department, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia (UPM), Serdang, Selangor, Malaysia
2-NOR AZMI KASIM - NA Kasim, Obstetrics & Gynecology Department, Hospital Putrajaya, Presint 7, Putrajaya, Malaysia
3-NURUL HUDA ZAINAL ABIDIN - NH Zainal Abidin, Obstetrics & Gynecology Department, Hospital Putrajaya, Presint 7, Putrajaya, Malaysia
4-AISYAH MUNIRAH MUDA - AM Muda, Obstetrics & Gynecology Department, Hospital Putrajaya, Presint 7, Putrajaya, Malaysia
5-WAN AHMAD HAZIM WAN GHAZALI- WAH Wan Ghazali, Obstetrics & Gynecology Department, Hospital Putrajaya, Presint 7, Putrajaya, Malaysia

Objective: To evaluate the prevalence of interstitial ectopic pregnancy and compare the surgical outcomes of laparoscopic cornuotomy (LC) and open cornuotomy (OC) of cornual ectopic pregnancy as well as to analyse its associated factors.

Design: This was a cross-sectional study in a single institution.

Materials and Methods: This study was conducted involving the cases of interstitial ectopic in Hospital Putrajaya, Kuala Lumpur, Malaysia, over a period of 10 years (2005 – 2014). Data on socio-demographic, clinical profile, peri-operative and post-operative were obtained from the electronic medical records (EMR).

Results: The prevalence of cornual pregnancy is 4% (n=14) from a total of 347 ectopic pregnancy cases in Putrajaya Hospital. The mean + SD age of patient in the LC group and OC group is 29.3 ± 5.9 years and 31.4 ± 7.3 years, respectively. Meanwhile, the duration of hospitalisation and mean operating time in the LC group are both significantly shorter compared to the OC group (1.43  ± 0.54 versus 2.57  ± 0.79, and 61.4 ± 15.7 mins versus 97.1  ± 38.2 mins, respectively; P<0.05).

There is no statistically significant difference between both groups for estimated blood loss, requirement of blood transfusion, complications and future fertility.

Conclusion: Laparoscopic cornual resection (cornuotomy) is a safe and less invasive procedure with a reasonable complication rate. Proven by its feasibility, this method should be considered as initial treatment in managing cases by trained hand surgeons. 

Keywords: Cornual pregnancy, interstitial pregnancy, laparoscopic cornuotomy, laparotomy resection, surgical outcome and reproductive outcome