Does ectopic pregnancy require fallopian tube hysterectomy?

Ectopic pregnancy is a pathological pregnancy, which is very harmful to the pregnant woman. It must be discovered in time and treated with surgery in time to avoid threatening the patient's life. There are many treatment methods for ectopic pregnancy. According to different situations, appropriate surgical treatment can be taken, and it is not necessary to remove the fallopian tube and uterus.

1. Does ectopic pregnancy require uterine removal?

There are a variety of treatment options for this disease, depending on the desire for fertility, the size and location of the ectopic pregnancy and the patient's physical condition. For those who are infertile, the fertility can be preserved to the greatest extent possible while saving the patient's life. Currently, the commonly used treatment methods in clinical practice include laparotomy, laparoscopic surgery, traditional Chinese medicine combined with non-surgical treatment, and intravenous chemotherapy.

Warm reminder: Patients with ectopic pregnancy should not worry too much about whether they need to have their uterus removed. Clinicians generally decide on treatment based on the patient's condition and physical differences.

2. How to treat ectopic pregnancy

2.1. Traditional conservative drug treatment

Conservative drug treatment is a treatment method for early ectopic pregnancy, and it should also be divided into suitable populations. Conservative drug treatment is suitable for people whose fallopian tube has not ruptured, whose tubal pregnancy mass is less than 3cm in diameter, who have no obvious internal bleeding, and whose blood HCG is less than 2000U/L.

This treatment method causes less harm to patients, but the killed embryos are polarized in situ, which can easily cause blockage of the fallopian tubes and affect fertility. Therefore, female patients should use it with caution, especially those who want to have children should not try this method lightly.

2.2. Fallopian tube fenestration and suture

When the fallopian tube is not ruptured or the rupture is small, hysteroscopy can be used. First, the fallopian tube is cut open to remove the embryo, and then it is sutured to maintain the function of the fallopian tube. Hysteroscopic and laparoscopic surgery can reduce the risks of surgery. It is painless, does not bleed, heals quickly, and leaves no scars. It greatly reduces the recurrence rate of the disease and is the best treatment for ectopic pregnancy currently advocated. Laparoscopic minimally invasive surgery is a minimally invasive surgery for ectopic pregnancy that preserves fertility to the greatest extent possible, allowing patients to rekindle their hope of having a child.

2.3. Salpingectomy

Salpingectomy is generally performed for ectopic pregnancy with severe fallopian tube rupture that is difficult to repair and accompanied by symptoms of hemorrhagic shock. The only option is to remove the fallopian tube on the affected side.

What to eat for ectopic pregnancy

1. Protein supplement

Protein is an important component of antibodies. If it is insufficient, the body's resistance will be reduced. Within half a month after ectopic pregnancy surgery, the patient should be given 1.5 grams to 2 grams of protein per kilogram of body weight, with a daily amount of about 100 grams to 150 grams. Therefore, patients can eat more chicken, lean pork, eggs, milk, beans, and bean products.

2. Stay hydrated

After ectopic pregnancy surgery, patients often sweat easily due to their weak body, so they should replenish water to reduce water evaporation. A lot of water-soluble vitamins are excreted in sweat, especially vitamin C, vitamin B1, and vitamin B2. Therefore, you should eat more fresh vegetables and fruits. This also helps prevent constipation.