Management of Ectopic Pregnancy at the Brazzaville Hospital and University Centre ()
ABSTRACT
Objective: To evaluate the current management of ectopic
pregnancies (EPG) at the University Hospital Centre (UHC) in Brazzaville
because the practice was usually limited to total salpingectomy by laparotomy. Patients
and methods: This was a descriptive study, with retrospective data
collection, conducted from July 30, 2015 to January 30, 2016. It included
patient records admitted to the Obstetrical Gynecology Department of the
Brazzaville University Hospital for an EP, a diagnosis made before
visualization on ultrasound of an active embryo outside the uterine cavity or
per laparoscopy, but often by exploratory laparotomy. Sociodemographic and
clinical data, as well as the therapeutic modalities of the patients, were
analyzed. Cases of women operated for EP in other health
facilities and referred to the UHC for complication management and cases that
were unusable were excluded. Results: We noted 39 EPs out of 4490 deliveries,
representing a frequency of 0.86%. The average age of the patients
was 28.9 years (extreme 18 - 46 years). The transfusion of labile blood
products concerned 84.6% of patients. There was no therapeutic abstention; medical treatment was performed in 3 patients (7.7% of cases).
Diagnostic and therapeutic laparoscopy was performed in 9 patients (23.1%) and
laparotomy was used in 26 patients (66.7% of cases) in which 35 Salpingectomies
(89.7% of cases) were performed. The immediate postoperative
period was marked by anaemia (32 cases or 82.1%), surgical site infection (1
case or 2.6%) and parietal suppuration (1 case or 2.6%). Conclusion: The
dissemination of therapeutic advances in the management of EP is also possible
in African settings.
Share and Cite:
Mbongo, J. , Mawandza, P. , Mpika, G. , Itoua, C. and Iloki, L. (2019) Management of Ectopic Pregnancy at the Brazzaville Hospital and University Centre.
Open Journal of Obstetrics and Gynecology,
9, 1050-1057. doi:
10.4236/ojog.2019.97102.