Why should I remove the fallopian tube for ectopic pregnancy?

Why should I remove the fallopian tube for ectopic pregnancy?

Ectopic pregnancy is very dangerous for women, because if women do not undergo surgery in time when they have ectopic pregnancy, they may lose their lives, and the risks during the operation are also very high. When treating ectopic pregnancy, doctors usually remove the fallopian tubes to prevent the fertilized egg from implanting outside the uterus. So why do we need to remove the fallopian tubes for ectopic pregnancy?

The cause of tubal pregnancy is often due to inflammation in the fallopian tube lumen or its surroundings, which causes poor patency of the lumen, hinders the normal operation of the fertilized egg, causes it to stay, implant, and develop in the fallopian tube, leading to miscarriage or rupture of the tubal pregnancy. There are often no obvious symptoms before miscarriage or rupture, but there may also be amenorrhea, abdominal pain, and a small amount of vaginal bleeding. After rupture, symptoms include acute and severe abdominal pain, repeated attacks, vaginal bleeding, and even shock.

For ectopic pregnancy with unruptured fallopian tube or small rupture of fallopian tube, laparoscopy is used to preserve the fallopian tube without laparotomy. The cause is found during treatment: if there is pelvic adhesion, the adhesion is loosened + anti-mucosal membrane is placed; if there is uterine septum, the septum is separated + uterine cavity stent or fallopian tube stent; intrauterine transplantation for ectopic pregnancy

It is suitable for those who have had multiple ectopic pregnancies without children and without ruptured gestational sac. Hysteroscopic and laparoscopic fallopian tube and ovarian window retrieval + fallopian tube plasty are performed. For patients who wish to continue the pregnancy, extrauterine embryo transfer into the uterus is performed. The purpose is to preserve the integrity of organs, retain fertility, and find out the cause of this ectopic pregnancy through hysteroscopy and laparoscopy to avoid a recurrence! The embryo is removed under laparoscopy, transplanted into the uterine cavity, and the pregnancy continues with B-ultrasound and HCG monitoring. Minimally invasive single-port laparoscopic surgery

It is suitable for unmarried and childless people. The advantage is that there are no scars on the abdominal wall and no clues are left; the patient's privacy is protected to the greatest extent.

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