Laparoscopic Management of Tubal Ectopic Pregnancy #1 Salpingotomy

Tubal ectopic pregnancy

Indication

Tubal ectopic pregnancy.

Technique

The following technique refers to tubal ectopic pregnancy located in the ampulla (most common type).

Step-wise approach with intraoperative photos and video of the procedure ensues:

Contraindications

  • Previous tubal ectopic on the same side.
  • Patient wishes salpingectomy after informed consent.

Complications

  • Persistent trophoblast / ectopic tissue.
  • Repeat ectopic pregnancy on the same side.
  • Bleeding (Moll, F et al., 2014).

Postoperative Management

  • Removal of drainage on 1st postoperative day.
  • Beta-hCG on 1st postoperative day.
  • Thrombosis prophylaxis with low molecular weight heparin 1x s.c. 6h after surgery.
  • Early discharge (1st postoperative day).

You might also find interesting other articles on ectopic pregnancy:

Bibliography

  • Mol, F., van Mello, N. M., Strandell, A., Strandell, K., Jurkovic, D., Ross, J., Barnhart, K. T., Yalcinkaya, T. M., Verhoeve, H. R., Graziosi, G., Koks, C., Klinte, I., Hogström, L., Janssen, I., Kragt, H., Hoek, A., Trimbos-Kemper, T., Broekmans, F., Willemsen, W., Ankum, W. M., … European Surgery in Ectopic Pregnancy (ESEP) study group (2014). Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet (London, England)383(9927), 1483–1489. https://doi.org/10.1016/S0140-6736(14)60123-9
  • Li, L., Wang, J. J., & Cheng, J. M. (2016). Zhonghua yi xue za zhi96(30), 2424–2426. https://doi.org/10.3760/cma.j.issn.0376-2491.2016.30.012
  • Taran, F.-A., Kagan, K.-O., Hübner, M., Hoopmann, M., Wallwiener, D., & Brucker, S. (2015). The Diagnosis and Treatment of Ectopic Pregnancy. Dtsch Arztebl International, 112(41), 693–704. Retrieved from https://www.aerzteblatt.de/int/article.asp?id=172413

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