Treatment of ectopic pregnancy

Treatment of ectopic pregnancy - consequences, diagnosis and re-injection

If a woman is already aware of the conception that has taken place, but has not yet been on ultrasound, she must be extremely attentive to herself. And with the appearance of the first signs of ectopic pregnancy, immediately go to the hospital!

Ectopic pregnancy is one that develops outside the uterus. Experts call it ectopic. There are many reasons, on which a fertilized egg can not reach its destination and settles earlier. On average, in 90% of cases, she chooses a fallopian tube for this, although she can also be implanted in the ovaries, in the cervical canal or abdominal cavity.

Chorion starts its roots here and starts to grow. However, in the female body, there is no longer a single organ that is adapted to such a process, except for the uterus. As the embryo increases, the wall of the uterine tube stretches until it breaks. There may also be a so-called tubal abortion - when a fetal egg exfoliates from the wall. Both these states are critical, so ideally interrupt ectopic pregnancy earlier, as soon as possible. And it is to interrupt, which is the essence of the treatment.

This can be done in several ways. The most commonly used is surgical. Earlier it was, as a rule, a laparotomy - removal of the embryo by opening the anterior abdominal wall. And today this method is still used when there is very little time left for action (the woman is in a critical condition) or there is no modern equipment in the clinic. However, more and more often gynecologists stop ectopic pregnancy by laparoscopy, when only the puncture is performed in the abdominal wall (and in the future there are practically no traces left).

Surgical treatment of ectopic tubal pregnancy can be performed in several ways:

Milking (extrusion) - is performed with detachment of the fetal egg, it is simply squeezed out of the fallopian tube with its preservation. This method is used in the case, when the undeveloped embryo is near the exit from the fallopian tube.

Salpingotomy (tubotomy) - is made in the event that milking can not be used. The uterine tube is cut at the location of the fetal egg, which is then removed, and the tube is then sutured. If the embryo is too large, then it is removed along with the part of the tube, after which the possibility of pregnancy in the future still remains.

Tubectomy - is made in the case when it is impossible to keep the uterine tube, it is removed completely together with the fetal egg. Most often, such an operation is resorted to in a repeated ectopic pregnancy. In emergency cases, the ovary can also be removed, when it becomes necessary to save the life of women (that is, the time goes on for just seconds).

Laparoscopy is a relatively gentle method of treating an ectopic pregnancy, because it avoids cuts and keeps the uterine tube. However, there is an even less traumatic way - medication. True, it can only be resorted to at the earliest possible date. The hormone drug (Mifepristone, Methotrexate) is introduced into the woman's body, which stops the development of the embryo and provokes an artificial miscarriage. This method was licensed only a few years ago, and in any case it requires a thorough preliminary medical examination of the woman and participation of qualified medical staff, so never try to resort to it yourself!

Often both methods - surgical and medicamentous - combine with each other. For example, after the introduction of Mifepristone, a detachment of the fetal egg occurs, and then it is removed by extrusion.

The doctor accepts the exact method of treating an ectopic pregnancy, based on the complexity of the situation and the available contraindications.

After the interruption of the ectopic pregnancy, the woman undergoes restorative treatment, including the elimination of inflammatory processes in the appendages of the opposite side. In the future, special attention should be paid to the prevention of repeated ectopic pregnancy. Today, in the overwhelming majority of cases, it is possible to keep the fallopian tubes, and in the future women successfully become pregnant again. But even with the removal of both fallopian tubes, pregnancy is possible if the ovaries are left. In such cases, resort to in vitro fertilization. You can not lose hope even when the ovaries are also removed. But in this case, of course, getting pregnant and bearing a baby will be much more difficult. However, nevertheless, it is possible.

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