Objective:

To compare the results of laparoscopic management of ectopic pregnancy with the use of advanced bipolar versus hybrid energy.

Material and methods:

An observational, descriptive, case series study was conducted, based on records of patients with tubal ectopic pregnancy confirmed. These patients underwent laparoscopic salpingectomy using advanced bipolar or hybrid energy (ultrasonic plus bipolar) at the Hospital Angeles Pedregal during 2013 to 2019. Outcomes were compared between groups considering significant a p value < 0.05.

Results:

In total 101 cases of ectopic pregnancy were treated. In 60 out of 101 procedures, hybrid energy (59.4%) was used and in 41 advanced bipolar energy was employed (40.6%). In patients with ruptured ectopic pregnancy the complication rate in the hybrid energy group was 8.4 versus 7.1% in the bipolar energy group (p = 0.760). In patients with not-ruptured ectopic pregnancy the complication rate was 0% in the hybrid energy group and 3.7% in the bipolar energy group (p = 0.429). Patients in the hybrid energy group had a significant reduction in hemoglobin levels after the operation (p = 0.011).

Conclusion:

The use of hybrid energy is associated with greater hemoglobin reduction during the postoperative period without increasing other complications or hospital stay in patients with ectopic pregnancy.