Laparoscopic Management of Tubal Ectopic Pregnancy #2 Salpingectomy

Indication

  • Recurrent ipsilateral tubal ectopic pregnancy.
  • The patient denies salpingotomy.

Technique

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

Click here for the step-wise approach to the laparoscopic salpingectomy.

Laparoscopic salpingectomy for tubal ectopic pregnancy.

Contraindications

  • Patient wishes salpingotomy after informed consent.

Complications

  • Usual perioperative complications (injury, bleeding, infection, thrombosis, etc.).
  • Not necessarily worse fertility prospects in comparison to salpingotomy (Cheng, X et al., 2016).

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

  • Cheng, X., Tian, X., Yan, Z., Jia, M., Deng, J., Wang, Y., & Fan, D. (2016). Comparison of the Fertility Outcome of Salpingotomy and Salpingectomy in Women with Tubal Pregnancy: A Systematic Review and Meta-Analysis. PloS one11(3), e0152343. https://doi.org/10.1371/journal.pone.0152343

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