Surgical Ectopic pregnancy
surgical treatment: laparoscopic view of ectopics pregnancy located in left fallopian tube, hematosalpinx present on left, right tube of normal appearance
the left fallopian tube containing ectopic pregnancy has been removed (salpingectomy).
if bleeding has occurred, surgical intervention may necessary. however, whether pursue surgical intervention difficult decision in stable patient minimal evidence of blood clot on ultrasound.
surgeons use laparoscopy or laparotomy gain access pelvis , can either incise affected fallopian , remove pregnancy (salpingostomy) or remove affected tube pregnancy (salpingectomy). first successful surgery ectopic pregnancy performed robert lawson tait in 1883. estimated acceptable rate of puls undergo surgery between 0.5 , 11%.
autotransfusion of woman s own blood drained during surgery may useful in have lot of bleeding abdomen.
published reports re-implanted embryo survived birth debunked false.
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