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Laparoscopic salpingotomy for tubal ectopic pregnancy

Epublication WebSurg.com, May 2019;19(05). URL: http://websurg.com/doi/vd01en5596

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  • 2019-05-20
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About 1 to 2% of all pregnancies are ectopic. Most ectopic pregnancies are located in the uterine tube, and surgery is often used as a treatment modality. Traditionally, salpingectomy has been the standard procedure, but salpingotomy provides a conservative option in women who wish to preserve future fertility, especially if the contralateral tube is absent or damaged. Many women do not have access to IVF for financial, geographical, or religious reasons. Having an intrauterine pregnancy after salpingotomy can reach up to 70%. In this video, we demonstrate this procedure in simple steps. The case was that of a 35-year-old lady, P0+1 with a previous right tubal pregnancy, which was treated with a partial salpingectomy through a mini-laparotomy 2 years before. She was admitted to the emergency department as she presented with a 6-week amenorrhea with left iliac fossa pain. Pelvic ultrasound showed left tubal ectopic pregnancy (4 by 3cm in size), with free fluid suggestive of hemoperitoneum. She opted for a conservative laparoscopic surgery as she was keen to have a spontaneous fertility.