Authors:

Chama CM. Obed JY. Ekanem IA.

Institution:

Dr. C. M. Chama, Univ. of Maiduguri Teaching Hospital, PMB 1414, Maiduguri, Borno State; Nigeria.

Title:

Transvaginal ultrasound scan versus laparoscopy in the diagnosis of suspected ectopic pregnancy (2001-3353).

Source:

Journal of Obstetrics and Gynaecology. Vol 21(2) (pp84-186), 2001.

Abstract:

This is a prospective study comparing the performance of transvaginal ultrasound scan with laparoscopy as the last diagnostic tool in a clinically suspected ectopic pregnancy. Both diagnostic methods have the same sensitivity of 100%. Transvaginal ultrasound scan had a specificity of 73.7% and a positive predictive value of 89.8%. Laparoscopy had a specificity of 84.8% and a positive predictive value of 94.6%. The use of laparoscopy could avoid laparotomy in only 3.4% of patients. Since transvaginal ultrasound scan is easier, safer and cheaper than laparoscopy, more emphasis should be laid on its use in our environment than laparoscopy.


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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.

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Ectopic Pregnancy





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