Description

This video is lecture of Dr R K Mishra on laparoscopic management of ectopic pregnancy. Most ectopic pregnancies occur in the fallopian tube, but they can also happen in the neck of the womb, in the ovary, or in the abdominal cavity. Laparoscopic Salpingostomy or Salpingectomy is the method of choice for the management of ectopic pregnancy. In a normal pregnancy, fertilization occurs in the fallopian tubes, where an egg, or ovum, meets a sperm cell. The fertilized egg then travels into the uterus and becomes implanted in the womb lining. The embryo develops into a fetus and remains in the uterus until birth. An ectopic pregnancy can be fatal without prompt treatment. For example, the fallopian tube can burst, causing internal abdominal bleeding, shock, and serious blood loss. According to the Centers for Disease Control and Prevention, between 1 and 2 percent of all pregnancies are ectopic. However, ectopic pregnancy is the cause of 3 to 4 percent of pregnancy-related deaths. Ectopic surgery The fallopian tubes can be repaired or removed with surgery. Keyhole surgery can be performed to remove the ectopic tissue. This is also known as a laparoscopy. In a laparoscopy, the surgeon makes a small incision in or near the navel and inserts a device called a laparoscope to view the area.