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Gynaecology > Ectopic Pregnancy > Flashcards

Flashcards in Ectopic Pregnancy Deck (72)
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61

What is the usual procedure for a tubal ectopic?

Laparoscopic salpingectomy

62

What happens in a laparoscopic salpingectomy for tubal ectopic?

Removal of the tube the fetus is implanted in

63

If there is damage to the contralateral tube what alternative procedure can be considered to preserve fertility?

Salpingotomy

64

What follow-up is require in a salpingotomy for ectopic pregnancy?

HCG testing until <5iU

65

What happens to the risk of future ectopic pregnancy in the tube that underwent salpingotomy?

Increase

66

When is surgical management of ectopic pregnancy considered?

- Severe pain
- Serum beta-hCG >5000mlU/ml
- Adnexal mass >34mm
- Visible fetal heart beat

67

What are the advantages of surgical management of ectopic pregnancy?

- Reassurance of definitive treatment
- High success rate

68

What are the disadvantages of surgical management of ectopic pregnancy?

- GA risk
- Risk of damaging neighbouring structures
- Risk of treatment failure with salpingotomy

69

What structures are at risk in surgical management of ectopic pregnancy?

- Bladder
- Bowel
- Ureters
- DVT/PE
- Haemorrhage
- Infection

70

Why may a salpingotomy fail at treating ectopic pregnancy?

Some pregnancy may remain

71

What should all Rh -ve women receive before surgical management of ectopic pregnancy?

Anti-D prophylaxis

72

What are the potential complications of ectopic pregnancy?

- Tubal or uterine rupture
- Massive haemorrhage
- Shock
- DIC
- Death