Which of the following treatment is not done in ectopic pregnancy:
High-Yield Explanation
Surgical management of Ectopic pregnancy (laparoscopy or laparotomy)
Conservative surgery
Salpingostomy:
It is the procedure of choice when the patient is hemodynamcially stable and wishes to retain her future fertility
Salpingotomy:
Seldom done nowadays
Segmental resection and anastomosis:
It is done in case of isthmic praegnancy.
Fimbrial expression of the ectopic pregnancy:
Risk of recurrence of ectopic pregnancy are high therefore not commonly performed.
Radical surgery
Salpingectomy Indications Ruptured ectopic
The patient has completed her family,
The tubes are grossly damaged
Ectopic pregnancy has recurred in a tube already treated conservatively.
Uncontrolled bleeding
Sac size > 5 cm.
Salpingo-oophorectomy i.e. removal of tubes along with the ovaries is not recommended in young patients—
“Presently salpingo-oophorectomy is never recommended unless the ovary itself is grossly diseased or damaged”.
Jeffcoate 7/e, p 154
“The ipsilateral ovary and its vascular supply is preserved. Oophorectomy is done only if the ovary is damaged beyond salvage or is pathological”.
Dutta Obs. 6/e, p 188