Page 83 - Critical Maternity & Newborn Health Nursing

• Exploration of the affected tube to detect the site of ectopic and the

other tube for rare bilateral ectopic pregnancy. The ovaries on both

sides should be explored as well.

1- Salpingostomy: Used to treat unruptured ampullary gestations.

2- Salpingectomy: Used to treat tubal rupture. It may be partial or

complete.

3- Segmental resection and anastomosis: Used for unruptured ectopic
in the isthmus of the tubes.

4- Fimbria evacuation:

(B) Laparoscopy: The patient should be hemodynamically stable.

(1) Salpingotomy:

The following criteria should be fulfilled:

 Early unruptured tubal pregnancy,

 The diameter of the ectopic is not exceeding 2 cm in diameter, and

 Both cornual and fimbrial ends look fairly normal.

(2) Salpingectomy:

Indicated in ruptured tubes where an end loop suture is applied to

the damaged tube then it is cut, or a bipolar diathermy and scissors are

used for this purpose.

82 Table of Contents