If the ectopic pregnancy occurs in the fallopian tube, salpingectomy may be performed

If an ectopic pregnancy occurs in the fallopian tube, either the miscarriage type or the ruptured type, a salpingectomy can be performed, which can stop bleeding in time and save lives.

Indications

1. Women who already have children and are no longer planning to have children should be given priority to salpingectomy and contralateral tubal ligation at the same time;

2. Women who need to preserve their fertility should also undergo fallopian tube resection if the fallopian tube lesions are too large, the rupture is too long, the fallopian tube mesentery and blood vessels are damaged, or if vital signs are in a serious state;

3. If fallopian tube bleeding cannot be controlled during conservative surgery, the fallopian tube should be removed immediately.

Surgery precautions

The operation can be performed under acupuncture anesthesia or local anesthesia. After laparotomy, the bleeding should be stopped first by clamping the bleeding point with forceps to stop the bleeding. If the patient is in shock, blood should be transfused quickly. After the shock is relieved, the fallopian tube on the affected side can be removed according to the steps.

If the ipsilateral ovary is normal, it should be retained; if the contralateral fallopian tube is normal, sterilization should be performed if the patient requests it; if the contralateral fallopian tube is lesioned, it should be treated according to the patient's condition, request and the severity of the lesion. In principle, the operation time should be shortened as much as possible, and salpingostomy should not be considered during acute blood loss or inflammation.

Autologous blood transfusion

Autologous blood transfusion can replenish blood volume in time without blood matching, which is very necessary for patients with severe shock caused by internal bleeding. It can save stored blood and reduce economic burden. In addition, autologous red blood cells are fresh and have strong oxygen-carrying capacity, and can also avoid infectious diseases such as serum hepatitis.

For patients with no obvious infection in the free blood in the abdominal cavity, autologous blood transfusion can be performed. Especially in the case of a blood shortage, autologous blood transfusion is an extremely effective measure to rescue hemorrhagic shock.