Ectopic pregnancy salpingectomy, do you understand these professional knowledge?

Ectopic pregnancy is very harmful. Data shows that most fertilized eggs in ectopic pregnancies are in the fallopian tubes, so one way to solve this problem is to perform a salpingectomy. Many people may not know about this surgery, so today I will introduce professional knowledge in this area.

1. Salpingectomy for ectopic pregnancy

Salpingectomy refers to the removal of the entire affected fallopian tube. In addition to being suitable for tubal pregnancy, it can also be used for other fallopian tube diseases. The blood vessels of the fallopian tube and tubal pregnancy.

2. Indications

Salpingectomy is indicated for:

1. No fertility requirements.

2. Those with obvious chronic fallopian tube inflammation who may have another fallopian tube pregnancy.

3. The fallopian tube ruptures during pregnancy and the damage is severe and cannot be repaired or cannot recover its function after repair.

3. Preoperative Preparation

1. Skin preparation of the abdomen and vulva (including cleaning of the navel).

2. Bowel preparation: Perform 0.1% soap water enema the night before surgery. If the surgery may involve the intestinal tract, perform 3 days of bowel preparation before the surgery.

3. Preoperative medication: If the operation is large and may involve the intestines, antibiotics should be used 3 days before the operation to prevent infection. Sedatives, atropine, or scopolamine were injected 30 minutes before the operation.

4. Indwelling urinary catheter.

5. Prepare blood or prepare autologous blood for transfusion.

4. Surgical steps

1. The electrocoagulation method relies on monopolar, bipolar electrocoagulation or an internal coagulator to electrocoagulate the junction of the intended resection part and the normal tissue one by one, including the mesosalpinx and the proximal uterine cornu. Generally, it is cut while solidifying.

2. Loop ligation method: First, insert the loop into the abdominal cavity from the operating hole on the same side, and use separation forceps to place the loop on the affected fallopian tube through the operating hole on the opposite side, so that the loop encircles the fallopian tube, and then clamp the fallopian tube from the middle of the loop, and tighten the loop by encircling the fallopian tube mesosalpinx and near the uterine angle. Perform 2 to 3 ligatures in the same way (Figure 11.5.1.1.2-7).

3. Cut the wire 1 cm away from the ligature with electrocoagulation scissors, and carefully electrocoagulate the broken end again, taking care not to burn the wire;

4. Specimen removal: Smaller specimens can be removed through a 10mm cannula sheath. Larger specimens can be placed in a specimen bag, then the bag opening is lifted out and the specimens can be removed in batches through the bag opening. The specimen removed should be carefully examined for the presence of pregnancy tissue (chorionic villi and embryonic tissue).

5. Other steps are the same as before.