How is ectopic pregnancy treated?

Ectopic pregnancy surgery mainly includes laparoscopic surgery and laparotomy. The specific choice depends on the patient's condition and ectopic pregnancy. Ectopic pregnancy refers to the implantation of the fertilized egg outside the uterus, most commonly in the fallopian tube. If not treated in time, it may be life-threatening. Surgery is the main way to treat ectopic pregnancy. The purpose is to remove the ectopic pregnancy tissue and protect the patient's fertility and life safety.

1. Laparoscopic surgery

Laparoscopic surgery is the preferred method for treating ectopic pregnancy, with the advantages of less trauma and quick recovery. The laparoscope and surgical instruments are inserted through a small incision in the abdomen, and the doctor completes the operation under the guidance of the display screen. For patients whose fallopian tubes are not ruptured, a salpingotomy can be performed to remove the pregnancy tissue and preserve the fallopian tube; if the fallopian tube is severely damaged, the affected fallopian tube needs to be removed. After surgery, patients are usually hospitalized for 1-2 days, and the recovery period is about 1-2 weeks.

2. Laparotomy

Laparotomy is used for serious cases or when laparoscopy cannot be performed, such as when a fallopian tube ruptures and causes heavy bleeding. The surgery involves making a large incision in the abdomen to directly remove the pregnancy tissue and treat the bleeding site. For patients with severe fallopian tube damage, the affected fallopian tube may need to be removed to control bleeding. The hospital stay after surgery is longer, usually 3-5 days, and the recovery period is about 4-6 weeks.

3. Postoperative care and precautions

After surgery, patients need to closely monitor their vital signs to prevent infection and bleeding. It is recommended to eat more high-protein, high-fiber foods, such as eggs, lean meat, vegetables and fruits, to promote wound healing. Avoid strenuous exercise and keep the abdominal wound clean and dry. Regular follow-up after surgery to monitor HCG levels to ensure that the pregnancy tissue is completely removed. For patients who have fertility needs, doctors will develop a follow-up fertility plan based on the situation.

Ectopic pregnancy surgery is a key measure to save lives. Patients should actively cooperate with treatment and pay attention to postoperative care and follow-up. Timely medical treatment and selection of appropriate surgical methods can protect fertility and health to the greatest extent. For women with a history of ectopic pregnancy, it is recommended to undergo a detailed examination before preparing for pregnancy to reduce the risk of recurrence.