Author(s)

S. Koumaré^1*, L. Soumaré¹, M. Sissoko¹, S. Keïta¹, M. Camara¹, O. Sacko¹, A. Camara¹, M. Sima², M. Traoré², H. Dicko³, B. Bengali⁴, D. Traoré⁴, S. Togo⁵, D. Koné¹, S. Diallo⁴, M. Sangaré⁶, A. Koïta¹, Z. Z. Sanogo¹, D. Sangaré¹

¹Department of Surgery “A”, University Hospital of Point G, Bamako, Mali.
²Department of Gynecology-Obstetrics, University Hospital of Point G, Bamako, Mali.
³Department of Intensive Care, University Hospital of Point G, Bamako, Mali.
⁴Department of Surgery “B”, University Hospital of Point G, Bamako, Mali.
⁵Department of Thoracic and Cardiovascular Surgery, Hospital of Mali, Bamako, Mali.
⁶Faculty of Medicine and Odontostomatology (FMOS), University of Sciences, Techniques and Technologies of Bamako (USTTB), Bamako, Mali.

Aim: To evaluate 15 years practice of coelioscopic Treatment of ectopicpregnancy in the Surgery Department “A” at the University Hospital Point G. Material and Methods: We conducted a descriptive retrospective study at the Surgery Department “A” at the University Hospital Point G from January 2001 to August 2015. Inclusion criteria were all pregnant women with ectopic pregnancy treated with coelioscopy. Sociodemographic, clinical, paracclinical and therapeutic aspects were recorded. Results: In 15 years, 42 cases of ectopic pregnancy out of 3840 gynecologic coelioscopies (1.04%) were collected. The average age was 28.5 years old with the extremes of 16 and 41 years old. Metrorragia was associated to pain in 83.3% (35/42); amenorrhea was found in 66.7% (28/41). Physical exam revealed pain with abdominal defense in 59.5% (25/42), adnexal mass in 31% (13/42), and pelvic contracture in 9.5% (4/42). In pre-operative, ectopic pregnancy was diagnosed complicated in 71.4% (30/42) and uncomplicated in 28.6% (12/42). Patients underwent salpingectomy in 85.7% (36/42), delivery from the fallopian tube in 9.8% (4/42), and hemostatic salpingectomy in 4.4% (2/42). The average duration of hospital stay was 1.88 day with the extremes of 1 and 7 days. The postoperative evolution was favorable in 97.6% (41/42), infection at the site of surgery was reported in 2.4% (1/42). Not a single death was registered. Conclusion: Treatment of ectopic pregnancy is of routine at the surgery department “A” in Point G. Fertility is preserved in the future.

Ectopic Pregnancy, Coelioscopic Surgery “A”, CHU Point G

Koumaré, S. , Soumaré, L. , Sissoko, M. , Keïta, S. , Camara, M. , Sacko, O. , Camara, A. , Sima, M. , Traoré, M. , Dicko, H. , Bengali, B. , Traoré, D. , Togo, S. , Koné, D. , Diallo, S. , Sangaré, M. , Koïta, A. , Z. Sanogo, Z. and Sangaré, D. (2018) Evaluation of 15 Years Practice of Coelioscopic Treatment of Ectopic Pregnancy in the Surgery Department “A” at the University Hospital Point G. Surgical Science, 9, 454-460. doi: 10.4236/ss.2018.911051.