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| Application effect of transvaginal single port laparoscopy used during the operation of ectopic pregnancy |
| 1. The Affiliated Hospital of Southwest Jiaotong University,，Chengdu, Sichuan Province, 610031；2. The First People's Hospital of Longquanyi District of Chengdu |
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Abstract To explore the application effect of transvaginal single port laparoscopy used during the operation of ectopic pregnancy. Methods: The clinical data of 86 patients with ectopic pregnancy who underwent single-port laparoscopic surgery from January 2019 to December 2020 were analyzed retrospectively. Among them, there were 46 patients underwent transumbilical single-port laparoscopic surgery in group A and 40 patients underwent transvaginal single-port laparoscopic surgery in group B. The operation time, the intraoperative blood loss, the hospitalization time, the anal exhaust time, the postoperative fever rate, and the satisfaction of the patient were compared between the two groups. Results: All 86 patients had successfully completed the operation without conversion to laparotomy and without serious complications during or after the operation. There were no significant differences in the operative time, the intraoperative blood loss, the hospital stay time, and the postoperative fever rate of the patient between the two groups (P＞0.05). The postoperative anal exhaust time (20.7±3.5 h) of the patient in group B was significantly shorter than that (25.7±5.9 h) of the patient in group A (P＜0.05). The satisfaction score (9.7±0.2) of the patient in group B was significantly higher than that (8.7±1.3) of the patient in group A (P＜0.05). Conclusion: The vaginal natural channel single port laparoscopy can be used for treating the patients with ectopic pregnancy with good effect and safety, which has shorter postoperative anal exhaust time and has higher satisfaction of the patients than those of the transumbilical single port laparoscopy.
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