The fertilization of sperm and egg occurs in the fallopian tube and the embryo is implanted in the spongy endometrial lining in the uterus in a conventional pregnancy. This lining is where all the nutrients necessary for the egg are provided and helps in the development of the embryo. When this implantation happens just outside like in the fallopian tubes, abdominal space, ovary, or even the cervix, the egg does not mature and the embryo will not survive. This is called ectopic pregnancy. This is also called tubal pregnancy because most of the implantation occur in the fallopian tubes. An ectopic pregnancy is dangerous as it could prove fatal for the mother and the only option is to terminate the pregnancy.
If the termination cannot be managed effectively with medications, laparoscopic surgery is performed. It is a key-hole surgery performed under general anaesthetic where a small telescope like instrument is passed through the belly button to inspect your pelvis and ectopic pregnancy once identified is removed. This surgery is of 2 types:
- Salpingostomy: Here a small cut is made in the fallopian tube and is used to remove the ectopic growth. The cut is then left to heal on its own or is stitched back.
- Salpingectomy: If ectopic pregnancy has ruptured and damaged the fallopian tube, the part of the fallopian tube where the ectopic growth is seen is removed, and the remaining length of the tube is reattached.
The incisions made are minute and the scars will barely be visible after a few months. Post surgery, care should be taken to avoid standing for long periods, lifting heavy objects, doing heavy housework and walking long distances.
Blog Reviewed By: Dr. Radhika Meka
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Book an appointment:paramparafertility.com/book-an-appointment.php
