Ectopic pregnancy or tubal pregnancy occurs when fertilized egg stays in the fallopian tube or attaches itself to either of the ovaries or cervix and keeps growing. Normally an egg is released by an ovary into the fallopian tube. If it gets fertilized with the sperm, the fertilized egg moves into the uterus and attaches itself to its lining and continues to grow for the next 9 months. But when this fertilized egg stays in fallopian tube, the resultant pregnancy is not normal but life threatening and is called ectopic pregnancy.
Symptoms of an Ectopic Pregnancy
Many patients might have no symptoms at all and hence it is important for this condition to be accurately diagnosed, as early as possible.
- Light or heavier vaginal bleeding than normal periods
- Nausea and vomiting associated with pain
- Lower abdominal pain
- Sharp abdominal cramps that may come and go and vary in intensity
- Pain in either side of the body
- Shoulder, neck, or rectal pain
- If the fallopian tube ruptures, the pain and bleeding could be severe enough to cause fainting.
Laparoscopic management of Ectopic Pregnancy
Ectopic pregnancy is an emergency condition that needs to be managed promptly. Surgical removal of ectopic growth or repair of fallopian tube are required in most of the cases where internal bleeding has occurred. It can be done in following two ways:
- Salpingostomy which involves removal of the ectopic growth through a small incision along the length of the fallopian tube.
- Salpingectomy which involves removal of damaged or stretched segment of fallopian tube, followed by reconnection of the remaining healthy fallopian tube.
Both these procedures can be performed by laparoscopy through small incision.
Advantages of Laparoscopy over Laparotomy:
- Small incisions are given in laparoscopy
- Laparoscopy has a short recovery period
- Laparoscopy takes less time than laparotomy
- Hospital stay is shorter after laparoscopy
- Patient recovers and return early to the work after laparoscopy
- Laparoscopy results in fewer postoperative adhesions than laparotomy
- Laparoscopy is associated with significantly less blood loss and a reduced need for analgesia during and after the procedure
Laparotomy is usually reserved for patients who are hemodynamically unstable or patients with cornual ectopic pregnancies. Rashmi hospital provides laparoscopic ectopic pregnancy treatment in bangalore