Abstract
Ectopic pregnancy accounts for 2% of all pregnancies, and approximately 4% of all pregnancy-related deaths. Surgery in necessary if the patient is unstable, ongoing hemorrhage is suspected, or there is a contraindication to methotrexate therapy. Laparoscopic surgery is the preferred surgical modality. Laparoscopic salpingostomy likely increases the risk of recurrent ectopic pregnancy and persistent trophoblastic disease, but preserves the fallopian tube which might improve future fertility. If a salpingostomy is performed, the serum human chorionic gonadotropin (hCG) needs to be serially measured until it is undetectable due to the risk of persistent trophoblastic disease.
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Main, J., Nezhat, C. (2015). Surgical Treatment of Ectopic Pregnancy. In: Tulandi, T. (eds) Ectopic Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-11140-7_5
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DOI: https://doi.org/10.1007/978-3-319-11140-7_5
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