Objective: To assess and evaluate the surgical treatment outcomes of patients with ectopic pregnancy at Kien Giang Obstetric and Pediatric Hospital.
Subjects and Methods: A descriptive study was conducted on 80 patients diagnosed with ectopic pregnancy who were admitted and treated from January 2022 to December 2024.
Results: Nearly one third of patients required blood transfusion, with most receiving two units of blood 28,75%(23/80 cases). Open surgery remained common, while laparoscopy was preferred in cases of simple salpingectomy. Surgical management consisted of open surgery (55%) or laparoscopy (45%), with salpingectomy being the main procedure (68.75%). The mean operative time was 34.3 ± 8.9 minutes for open surgery and 36.5 ± 10.3 minutes for laparoscopic surgery. Postoperative complications occurred in 35/80 cases, more frequently after open surgery (74.3%) than laparoscopy (25.7%), with wound pain being the most common (62.86%). Recovery of bowel function within ≤3 days was observed in 81.25% of cases. The mean length of hospital stay was 4.9 ± 0.6 days for open surgery and 4.2 ± 0.8 days for laparoscopy. Although operative times were comparable, laparoscopic surgery was associated with fewer complications and faster recovery, with a significant difference in hospital stay duration.
Conclusion: Surgery is a mandatory indication; laparoscopic surgery has increasingly established its important role because of its advantages, while open surgery remains necessary in certain specific situations. The choice of surgical approach should be individualized according to the patient’s condition and the resources of the healthcare facility. Early detection and timely management are decisive factors in improving treatment outcomes.