Ectopic pregnancy: Surgical treatment
- Togas Tulandi, MD, MHCM
Togas Tulandi, MD, MHCM
- Professor of Obstetrics and Gynecology
- Milton Leong Chair in Reproductive Medicine
- McGill University, Canada
An ectopic pregnancy is an extrauterine pregnancy. Almost all ectopic pregnancies occur in the fallopian tube (98 percent) , 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 . 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")To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- SURGICAL PLANNING
- Salpingostomy versus salpingectomy
- Laparoscopy versus laparotomy
- PREOPERATIVE EVALUATION AND PREPARATION
- OUTCOME AND FOLLOW-UP
- Surgical complications
- Persistent ectopic pregnancy
- - Treatment
- Future pregnancy
- - Interval to conception
- INTERSTITIAL PREGNANCY
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS