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Ectopic pregnancy: Surgical treatment

Author
Togas Tulandi, MD, MHCM
Section Editor
Tommaso Falcone, MD, FRCSC, FACOG
Deputy Editor
Sandy J Falk, MD, FACOG

INTRODUCTION

An ectopic pregnancy is an extrauterine pregnancy. Almost all ectopic pregnancies occur in the fallopian tube (98 percent) [1], but other possible sites include cervical, interstitial (also referred to as cornual; a pregnancy located in the proximal segment of the fallopian tube that is embedded within the muscular wall of the uterus), hysterotomy scar, intramural, ovarian, or abdominal. In addition, in rare cases, a multiple gestation may be heterotopic (include both a uterine and extrauterine pregnancy).

Historically, ectopic pregnancy was managed surgically, but in current practice, treatment with methotrexate is preferred [2]. Some women undergo surgical therapy by choice or by necessity and others are candidates for expectant management.

The surgical treatment of ectopic pregnancy will be reviewed here. Related topics regarding ectopic pregnancy are discussed in detail separately, including:

Epidemiology, risk factors, and pathology (see "Ectopic pregnancy: Incidence, risk factors, and pathology")

Clinical manifestations and diagnosis (see "Ectopic pregnancy: Clinical manifestations and diagnosis")

                  

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Literature review current through: Nov 2016. | This topic last updated: Thu Sep 08 00:00:00 GMT+00:00 2016.
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