Surgical Management of an Ectopic Pregnancy Via Laparoscopic Salpingectomy or Laparoscopic Salpingostomy

Abstract

This chapter describes the surgical management of an ectopic pregnancy via laparoscopic procedure as performed by the following approaches: laparoscopic as against open abdominal surgery, whether it is a laparoscopic salpingectomy, where the entire fallopian tube is surgically removed, or laparoscopic salpingostomy, where the products of conception only are removed from the fallopian tube, merely by incising the fallopian tube and suctioning the material out, leaving the fallopian tube intact. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure(s) in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: abdominal access, anatomic assessment, salpingostomy or salpingectomy, removal of ectopic pregnancy.