- Length of Procedure
How long is the surgery for ectopic pregnancy?
Ectopic pregnancy surgery can be either laparoscopic (via camera and smaller cuts) or via laparotomy (surgery by opening the belly). If the physician prefers laparoscopic surgery, it will take about 30 minutes to 1 hour. However, if the physician chooses laparotomy, it might take longer to complete. The patient should return to the ward within 1 to 2 hours.
When is the surgery for ectopic pregnancy indicated?
Ectopic pregnancy is a condition where the embryo implants outside the uterus, especially in the fallopian tubes.
Surgery for ectopic pregnancy is indicated when
- The patient is not fit for medical therapy.
- There is a failure of medical treatment.
- The patient has both ectopic pregnancy and intrauterine pregnancy.
- The patient’s vitals are abnormal or unstable (irregular, lower or high pulse; poor oxygen levels and; low blood pressure)
However, the surgery would be avoided when
- The patient has an ectopic pregnancy, which is treatable with medicines.
- The patient has an underlying medical condition that would make the surgery difficult.
How is surgery for ectopic pregnancy performed?
The physician either chooses a laparoscopy or laparotomy to resolve the ectopic pregnancy. The surgery is generally performed under general anesthesia. For ectopic pregnancy that hasn’t ruptured, the physician attempts to remove the products of conception present in the ampulla region of the fallopian tube (salpingotomy). In some cases, the physician identifies the tube that contains the ectopic pregnancy and separates it from the surrounding structures (salpingectomy). In laparoscopic surgery, the physician makes two to three cuts in the lower belly. Next, the physician inserts a laparoscope and small surgical tools to access the pelvic organs. The physician makes a cut about 1 to 2 cm long on the fallopian tube. Fluid under pressure is injected into the tube to dislodge the pregnancy. The physician may also perform an open surgery in the case of severe bleeding or when the laparoscopic technique has been a failure.
What should I do after surgery for ectopic pregnancy?
The patient should follow these instructions after the surgery
- Rest for a week after the surgery, even if she feels better sooner.
- Avoid lifting anything heavier than 10 pounds (4.5 kg), which would strain the incision.
- Avoid exercises or strenuous activities until the doctor says so.
- Climb the stairs slowly with a pause after every step.
- Don’t attempt driving for a few days after the surgery.
- Walk as often as she can.
- Avoid standing for long periods.
- Don’t engage in sexual activities unless the physician says it is safe to do so.
- Continue with deep breathing exercises taught in the hospital.
- Prevent constipation by
- Drinking six to eight glasses of water every day.
- Eat fruits, whole grains, vegetables and leafy green vegetables.
- Use a laxative or a mild stool softener.
- Use mild soap and water to wash the incision and pat it dry.
- Shower or bathe regularly.
If the patient observes the following symptoms, she should call her physician immediately
- Redness, swelling or drainage at the incision site.
- Fever of 100.4° Fahrenheit.
- Pain that doesn’t resolve with medicine.
- Worsening stomach pain and swelling.
- Vaginal discharge or bleeding.
- Dizziness or fainting.
- Nausea and vomiting.
What are the complications of surgery for ectopic surgery?
The complications of surgery include
- Cervical pregnancy: The ectopic pregnancy implants in the cervix.
- Severe hemorrhage
- Damage to the bowel, bladder and/or uterus that would require another major surgery
- Wound infection
- Hernia at the site of entry
- Shoulder tip pain
- Wound gaping (a wound that is wide and open)
- Persistent pregnancy tissue
Health Solutions From Our Sponsors
Top How Long Is the Surgery for Ectopic Pregnancy Related Articles
3 Ways To Get Pregnant Without a ManNo matter why you are motivated to become pregnant without a male sexual partner, there are many ways in which you can still get pregnant. Three ways to get pregnant without a man include intrauterine insemination, in vitro fertilization (IVF), and egg and sperm donation.
Can Fallopian Tubes Grow Back After Removal?Fallopian tube removal is effective in preventing pregnancy, but it's not entirely reliable. An estimated 1 in every 200 women will get pregnant after tubal ligation.
cryoprecipitateCryoprecipitate is a blood product containing specialized insoluble blood proteins known as coagulation factors that regulate the clotting and clot-dissolving processes. Cryoprecipitate is obtained from plasma, the fluid component of blood, and is used to treat patients with blood clotting (coagulation) disorders and to control hemorrhage during major surgery or during and after childbirth. Common side effects of cryoprecipitate include transfusion-related complications, allergic reactions, and post-transfusion bruising (purpura).
Ectopic Pregnancy (Tubal Pregnancy)
An ectopic pregnancy is a pregnancy located outside the inner lining of the uterus. The majority of ectopic pregnancies occur in the Fallopian tube. Signs and symptoms of an ectopic pregnancy may include abdominal pain, lack of menstrual period (amenorrhea), vaginal bleeding, fainting, dizziness, and low blood pressure.
Treatment options for an ectopic pregnancy include observation, medication, or surgery.
gentamicinGentamicin is a broad-spectrum antibiotic used to prevent and treat many types of bacterial infections, and is typically administered as an injection. Gentamicin is also used to prevent surgical infections, and to treat conditions such as cystic fibrosis, pelvic inflammatory disease, and infective endocarditis. Common side effects of gentamicin may include reduced urine output, kidney damage, vertigo, dizziness, hearing loss, ringing in the ears (tinnitus), balance problems (vestibular), impaired coordination, balance and speech (ataxia), gait instability, skin reactions (swelling, rash, itching), and others.
How Long Does It Take to Recover From Laparoscopic Surgery?When done for the treatment of medical conditions, the recovery may vary depending on the type of treatment. After a major surgery, such as a laparoscopic hysterectomy (removal of the uterus), removal of the ovaries or removal of a kidney for the treatment of cancer, it may take up to 12 weeks to recover. The patient may be able to resume their activities within 3 weeks of a minor laparoscopic surgery, such as an appendix removal.
magnesium sulfateMagnesium sulfate is a salt of magnesium, a naturally occurring mineral, used to prevent and treat convulsions (seizures) from preeclampsia and eclampsia (toxemia) in pregnant women. Magnesium sulfate is also used to treat certain heart rhythm disorders, magnesium deficiency, and acute kidney inflammation (nephritis) in children. Side effects include flushing, increased sweating, low blood pressure (hypotension), depressed/poor reflexes, flaccid paralysis, low core body temperature (hypothermia), circulatory collapse, depressed cardiac function, central nervous system (CNS) depression, respiratory paralysis, excess fluid in the lungs (pulmonary edema), extreme drowsiness, and others.
ondansetronOndansetron is an antiemetic medication prescribed to prevent nausea and vomiting caused by cancer treatments (chemotherapy and radiation, and anesthetic medications used during surgeries). It is also used to treat extreme and persistent nausea and vomiting during pregnancy, and itching caused by opioid medications and certain specific conditions. Common side effects of ondansetron include headache, feeling unwell (malaise), fatigue, constipation, low tissue oxygen levels (hypoxia), drowsiness, dizziness, and gynecological disorder. Consult your doctor before taking ondansetron if pregnant or breastfeeding.
Prenatal VitaminsPrenatal vitamins are recommended by most doctors prior to getting pregnant, throughout your pregnancy, and after you have your baby. The developing embryo and fetus need extra vitamins for healthy development. Prenatal vitamins contain iron, calcium and vitamin D, folic acid (to prevent birth defects), zinc, iodine, and vitamin A. Some prenatal multivitamins also contain other minerals and supplements like vitamin B 12 and omega-3 fatty acids.
propofolPropofol is an intravenous anesthetic drug used for general anesthesia and sedation during surgical procedures. Common side effects of propofol include injection site burning, stinging or pain; low blood pressure (hypotension), reduced cardiac output, elevated blood pressure (hypertension), pause in breathing (apnea), lung impairment (respiratory acidosis), impaired movement, high level of emulsified fats in the blood (hyperlipidemia), and high triglyceride level in blood (hypertriglyceridemia). Abuse of propofol can cause death and other injuries.
succinylcholineSuccinylcholine is a skeletal muscle relaxant used for medical procedures done under general anesthesia, including tracheal intubation, mechanical ventilation, and surgeries. Common side effects of succinylcholine include postoperative muscle pain, jaw rigidity, muscle twitch (fasciculation), respiratory depression, cessation of breathing (apnea), low or high blood pressure (hypotension or hypertension), irregular heart rhythms (cardiac arrhythmias), slow or rapid heartbeat (bradycardia or tachycardia), cardiac arrest, increase in intraocular pressure (IOP), high blood potassium levels (hyperkalemia), severe life-threatening drug reaction with excessively high temperature (malignant hyperthermia), salivary gland enlargement, excessive salivation, rash, hypersensitivity reactions, and others.
What Are the 3 Prenatal Tests?Prenatal tests are medical procedures performed during pregnancy to assess the health and development of the fetus and to help identify any potential problems or abnormalities. The three most common prenatal tests include ultrasound, amniocentesis, and chorionic villus sampling (CVS). Other prenatal tests include pregnancy test, first trimester screening, second trimester screening, noninvasive prenatal testing, fetal ultrasound, genetic counseling, biophysical profile, Group B streptococcus (GBS) test, glucose tolerance test, anomaly scan, and alpha-fetoprotein (AFP) test.
What Is the Management of Ectopic Pregnancy?Ectopic pregnancy is the medical condition in which the implantation of an embryo occurs outside of the uterine cavity (the womb), most commonly in the fallopian tube. Ectopic pregnancy is usually managed through medications, surgery or observation. The type of management depends on the severity of the condition.