Surgical Management of Ruptured Ectopic Pregnancy
Clinical Scenario
Ruptured ectopic pregnancy is an obstetric emergency requiring prompt recognition and immediate action. Patients with signs and symptoms of rupture require emergent transfer and surgical intervention.
Treatment Approach
Management centres on emergent surgical intervention. Two primary surgical options exist, each addressing the affected fallopian tube differently — the choice between them depends on intraoperative findings and the patient's individual circumstances.
Full algorithm, criteria for each approach, and complete procedural details are available in the structured protocol.
References
- Patients with suspected or confirmed ectopic pregnancy who exhibit signs and symptoms of ruptured ectopic pregnancy should be emergently transferred for surgical intervention.
- In cases where methotrexate is contraindicated or not preferred by the patient, surgical management can usually be performed laparoscopically if the patient is hemodynamically stable.
- Surgical options include salpingostomy or salpingectomy.
- The decision whether to remove the fallopian tube or leave it in place depends on the extent of damage to the tube (evaluated intraoperatively) and the patient's desire for future fertility.
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