Conservative surgery is suitable for patients with ectopic pregnancy who want to have children

The so-called conservative surgery for treating ectopic pregnancy is a surgery to preserve the affected fallopian tube. It is suitable for young women who want to have children, especially those whose contralateral fallopian tube has been removed or has obvious lesions.

The surgical procedure is selected according to the implantation site of the fertilized egg and the condition of the fallopian tube lesions. If it is an infundibulum pregnancy, the pregnancy products can be squeezed out; if it is an ampulla pregnancy, the fallopian tube is cut open to remove the embryo and then sutured; if it is an isthmus pregnancy, the diseased segment is resected and end-to-end anastomosis is performed. If the operation uses microsurgery technology, the subsequent pregnancy rate can be improved. In addition to laparotomy, conservative surgery can also be performed through laparoscopy.

Ectopic pregnancy can be treated conservatively. In recent years, minimally invasive laparoscopic technology has become increasingly mature and widely used in the field of obstetrics and gynecology, making the treatment of ectopic pregnancy move from "major trauma" to "minimally invasive". Because of its small surgical trauma, less bleeding, short operation time, fast postoperative recovery, short hospitalization time, almost no scars on the abdomen, less pelvic adhesions, and mild fallopian tube obstruction, it is easier to preserve the fallopian tube. Tissue coagulation of the wound surface can prevent the exudation and deposition of cellulose, and significantly improve the patient's quality of life after surgery.

Laparoscopic treatment of ectopic pregnancy uses cold light sources to provide lighting, inserts the laparoscope lens (diameter 3 mm-10 mm) into the abdominal cavity, and uses digital camera technology to transmit the images captured by the laparoscope lens to the post-stage signal processing system through optical fibers, and displays them in real time on a dedicated monitor. Then the doctor analyzes and judges the patient's condition through the images of the patient's organs at different angles displayed on the monitor screen, and uses special laparoscopic instruments to perform surgery. During the operation, only three 0.5 cm-1.0 cm small holes need to be opened in the patient's abdomen. After recovery, only 1-3 0.5 cm-1.0 cm linear scars are left in the abdominal cavity, which are only the size of a keyhole. It can be said that it is a surgery with small wounds and little pain. The development of laparoscopic surgery has reduced the pain of surgery for patients, shortened the recovery period of patients, and relatively reduced the cost of patients. The most important thing is that it can effectively retain the fallopian tubes, with a fallopian tube retention rate of 95.65%, creating favorable conditions for future fertility, which is very suitable for women with fertility requirements.