Earlier diagnosis and treatment have made an impact and reduced complications. The Royal College of Obstetricians and Gynaecologists have recommended that Tubal ectopic pregnancies should be positively identified, if possible, by visualizing an adnexal mass that moves separate to the ovary.
I will only carry out a laparoscopic surgical approach, which is recommended by the Royal College of Obstetricians and Gynaecologists, and is preferable to an open surgery. In the presence of a healthy contralateral tube, the diseased tube will be removed, (salpingectomy) in preference to a salpingotomy (opening up the fallopian tube.)
There are several variations on ectopic pregnancy: cornual pregnancy, caesarean section scar pregnancy and cervical pregnancy.
An ectopic pregnancy occurs when fertilised eggs implants outside of the uterus. In the UK, the incidence is approximately in 11/1000 of all pregnancies. There are an estimated 11 000 ectopic pregnancies diagnosed each year. Unfortunately, women can still die from ectopic pregnancy, and there are up to 6 maternal deaths reported every 3 years.
Risk factors for ectopic pregnancy include:
In the UK, most ectopic pregnancies are treated with laparoscopic surgery (key hole surgery. A small number can be treated using methotrexate, and also a further group with conservative management.
It is a potential life-threatening procedure.
This is normally by a laparoscopic key hole procedure to remove the affected fallopian tube.
Infection, smoking, and IVF.
Yes provided the remaining fallopian tube is healthy.