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Laparoscopic Salphingectomy For Ectopic


When the pregnancy in a woman occurs in an abnormal location, like an extrauterine pregnancy, it is known as ectopic pregnancy. In most of the cases of extrauterine pregnancy, the pregnancy occurs in the fallopian tube. Overtime, laparoscopic salpingectomy has become a preferred alternative to the previously practiced laparotomy in the treatment of a patient with ectopic pregnancy. There are obviously a number of advantages to this procedure; especially it promotes a decreased morbidity and a lot less surgical pain. Moreover, it is cheaper comparatively and the patient will have to stay in the hospital for a lot less number of days.

The benefits of laparoscopic salpingectomy

The laproscopic procedure is also advised as it requires a very little recovery time, with less disability post-operation and minimal cosmetic surgical scar on your body. As it is a cost-effective procedure, with tools used that are quite common and usual, this procedure is gaining quite a momentum with gynecologists. However, this procedure’s demand on a patient will completely depend on the fertility desires of the patient and the condition of the opposite tube.

Why choose laparoscopic salpingectomy?

For most cases of ectopic pregnancy, a laparoscopic salpingectomy is the preferred mode of treatment. This is because laparoscopic salpingectomy preserves their desire for getting pregnant in the future. However there are cases where tubal rupture, damage or bleeding of fallopian tubes and other indications may not permit any other procedure to salvage the situation. In these cases, especially a laparoscopic salpingectomy is the only option. Moreover, salpingenctomy is also a procedure that can be used to remove hydrosalpinges in women who are undergoing in vitro fertilization or IVF. There are innumerable studies that have shown an improved case of pregnancy rates, whenever such tubes have been excised.

Laparoscopic salpingectomy and laparoscopic salpingostomy

To choose between laparoscopic salpingectomy and laparoscopic salpingostomy, you have to understand the core difference. First of all, there have not been any randomized trials that was able to guide the laparoscopic surgical choice between salpigostomy (which is a conservative method) and salpingectomy (which is a radical one). Retrospectively speaking, both of these procedures, salpingostomy and salpingectomy, have almost equal chances for the patient to attain uterine pregnancy (46% to 44%) after the surgery.   

A laparoscopic salpingectomy, however, is a reasonable treatment option as its chances of avoiding any kind of complications due to recurring ectopic pregnancy is slightly lower (5% to 8%) than salpingostomy. So ask your doctor on which procedure is going to suit you the best.

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