Laparoscopy Vs laparotomy in ectopic pregnancy

In a haemodynamically stable woman, laparoscopy is preferable to laparotomy.

Laparoscopy associated with:

  - Lower blood loss

  - Lower analgesic requirement

   - Shorter hospital stay

   - Quicker post-op recovery

   - Lower cost

   - No significant difference in subsequent intra-uterine pregnancy rates

   - A trend towards a lower repeat ectopic pregnancy rate

   - Higher rate of persistent trophoblastic tissue (12.2% v 1.7%) if salpingotomy performed

  - Lower risk of adhesion formation