Ectopic pregnancy - laparoscopic management in a district general hospital.

A 2-year retrospective study was carried out in a district general hospital to review the outcome of laparoscopic management versus laparotomy for the management of ectopic pregnancy. Outcome measures included operating time, postoperative analgesia requirements, complications, length of hospital stay, the post-ectopic intrauterine pregnancy rates and the recurrent ectopic pregnancy rates over an observational period of 16 months. Forty-nine consecutive women were seen.

Fixation of Interceed does not improve its efficacy against adhesion formation in rats.

A randomized controlled trial was performed in 30 Sprague-Dawley white rats to compare the efficacy of the synthetic adhesion-barrier Interceed (Johnson & Johnson Medical Inc.) when fixed in place using 6/0 vicryl sutures or lying freely on damaged tissues. The rats were randomly assigned to 3 groups; control, Interceed (fixed) and Interceed (free).