Author:
Rosales-Ortiz Sergio,Na Shieli Barrón Martínez Tammy,Augusto De La Cruz Vázquez Carlos,Fugarolas Marín José,Vega León Alejandra,Márquez-Acosta Janeth,Santacruz Baez Smarth,Apolo Aguado Pérez Rogelio
Abstract
Minimally invasive surgery is an option in the management of ectopic pregnancy, it may be rupture, not rupture, or complement of medical treatment. In addition to the known advantages of endoscopic surgery in the field of obstetrics, it allows better conservative management of the fallopian tube and ovaries, allowing a better reproductive prognosis. The surgical technique to be performed of the clinical findings, the hemodynamic status, and the anatomical location of the ectopic pregnancy. Salpingectomy is performed in the ruptured ectopic pregnancy, assessing the integrity of the contralateral salpinge. Linear salpingostomy is performed on unbroken ectopic pregnancy preserving the fallopian tube, in the literature, this technique has reported maintenance of the fertility rate. In case of a cervical or niche ectopic pregnancy, resectoscopy is recommended.
Reference52 articles.
1. Levy L, Tsaltas J. Recent advances in benign gynecological laparoscopic surgery. Faculty Reviewes. 2021;10:60
2. Alkatout I, Mettler L. Hysterectomy a comprehensive surgical approach. In: Histerectomía. Germany: Springer International Publishing; 2018. p. 1676
3. Hawe JA, Garry R. Histerectomíalaparoscópica. Surgical Innovation. 1999;6:80
4. Ball E, Waters N, Cooper N, Talati C, Mallick R, Rabas S, et al. Evidence-based guideline on laparoscopy in pregnancy: Commissioned by the British Society for Gynaecological Endoscopy (BSGE) Endorsed by the Royal College of Obstetricians and Gynaecologists (RCOG). Facts Views and Vision Obstetrics and Gynaecology. 2019;11(1):5
5. Committee on Practice Bulletins-Gynecology. ACOG practice bulletin 191: Tubal ectopic pregnancy. Obstetrics and Gynecology. 2018;131:2, e65