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.
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 one, 11(3), e0152343. https://doi.org/10.1371/journal.pone.0152343
Gynaecologia 