Laparoscopy used in ectopic pregnancies

Download a PDF of this booklet. The diagnosis of an ectopic pregnancy is usually unexpected and is often emotionally traumatic. Many women may have only recently discovered they were pregnant when they receive the diagnosis. Some women diagnosed with an ectopic pregnancy do not even know they are pregnant and suddenly must think about the possibility of major surgery or medical treatment. This booklet is designed to provide information on the diagnosis and treatment of ectopic pregnancy. An ectopic pregnancy is an early embryo fertilized egg that has implanted outside of the uterus womb , the normal site for implantation.
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Laparoscopic salpingotomy for tubal ectopic pregnancy

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Ectopic Pregnancy | Kaiser Permanente

Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. Risk factors for ectopic pregnancy include pelvic inflammatory disease , often due to chlamydia infection ; tobacco smoking ; prior tubal surgery; a history of infertility ; and the use of assisted reproductive technology. Prevention is by decreasing risk factors such as chlamydia infections through screening and treatment. Later presentations are more common in communities deprived of modern diagnostic ability. Signs and symptoms of ectopic pregnancy include increased hCG, vaginal bleeding in varying amounts , sudden lower abdominal pain, [4] pelvic pain, a tender cervix, an adnexal mass, or adnexal tenderness. Rupture of an ectopic pregnancy can lead to symptoms such as abdominal distension , tenderness , peritonism and hypovolemic shock.
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Laparoscopic Treatment of Ectopic Pregnancy With and Without Laser

Lasers in Gynecology pp Cite as. With the development of the rapid HCG assay and echography, the diagnosis of ectopic pregnancy EP has become easier and can be made earlier. At the same time, great improvements have been made in operative laparoscopy. These two points logically led to the laparoscopic treatment of ectopic pregnancy; we treated the first such cases in [1]. Following some initial success, the instrumentarium and technique have been progressively modified to obtain the current procedure, which is safe and effective.
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Top of the page. In a normal pregnancy, a fertilized egg travels through a fallopian tube to the uterus. The egg attaches in the uterus and starts to grow. But in an ectopic pregnancy , the fertilized egg attaches or implants someplace other than the uterus, most often in the fallopian tube. This is why it is sometimes called a tubal pregnancy.
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