Ectopic pregnancy can be treated in one of two ways. OB/GYN Romeo Acosta, MD from St. Petersburg General Hospital discusses this serious complication in a video interview.
Authors: Jan Filip Baekelandt, M.D.; Jona Vercammen, M.D.. Abstract: Objective:. To demonstrate a new minimally invasive approach for the diagnosis and treatment of ectopic pregnancy.. Design:. Stepwise explanation of the technique using original video footage.. Patients:. Since 2014 15 patients were treated transvaginally for ectopic pregnancy and pregnancy of unknown location (PUL).. Setting:. Department of Obstetrics and Gynaecology, Imelda Hospital, Belgium.. Interventions: In case of a diagnosis of ectopic pregnancy on ultrasound, a 2,5 cm colpotomy is made under general anaesthesia and the ectopic pregnancy is treated by transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) salpingectomy or salpingostomy (1). In case of a PUL on ultrasound, Transvaginal Hydrolaparoscopy (TVHL), an established technique for fertility exploration under local or general anaesthesia(2), is used to investigate. If a tubal pregnancy is confirmed on TVHL, the colpotomy is extended to a 2,5 cm incision, and the ectopic pregnancy is treated transvaginally by vNOTES. If the TVHL investigation of the pelvis is negative (Fallopian tubes and ovaries are normal), the procedure is stopped and the patient is followed up further. If the TVHL is inconclusive, the NaCl is drained and CO2 is insufflated (requiring general anaesthesia) through the 4mm TVHL port to improve visualisation. Again, an ectopic pregnancy is then treated by vNOTES and in case of a negative investigation the procedure is stopped and the patient is followed up further.. Main Outcome Measure: Successful diagnosis and treatment of ectopic pregnancies.. Results: All patients were successfully operated without complications or conversions to standard laparoscopy. Twelve patients were treated by vNOTES for ectopic pregnancy. Three TVHL explorations for PUL were negative and these patients were followed up; two patients developed a normal intrauterine pregnancy and the third patient was treated with methotrexate for persistent asymptomatic raised HCG levels.. Conclusion:. TVHL and vNOTES are complementary techniques enabling gynaecologic surgeons to explore PUL and treat ectopic pregnancies via minimally invasive transvaginal access without abdominal incisions. A negative TVHL investigation leaves only a 4mm perforation in the Pouch of Douglas that does not require suturing. The IMELDA technique for the investigation and treatment of PUL and ectopic pregnancy is a novel approach that requires further investigation. It can provide improved patient comfort and better cosmetic results.
Not all pregnancies go as planned. Some turn out to be abnormal and unfortunately they need to be terminated. One such pregnancy is an ectopic pregnancy. Watch this video to have a better understanding of Ectopic Pregnancy.. Ectopic pregnancy can be a very distressing experience. Usually, when conception occurs, the egg meets a sperm in the fallopian tube and the fertilized egg travels through the fallopian tubes to reach the uterus. Whereas, in ectopic pregnancy, the fertilized egg settles and grows outside the womb, in one of the fallopian tubes. Since the fallopian tube is not large enough to support the growing embryo, this may cause bursting of the fallopian tube.. Initially, an ectopic pregnancy often shows the same symptoms as a typical normal pregnancy. However, as it advances, ectopic pregnancy shows some abnormal symptoms like abnormal vaginal bleeding, pelvic pain, and low back pain.. Ectopic pregnancy needs to be removed since the egg can’t grow outside the uterus, and the bigger it gets, the greater is the risk for the mother. Hence, the only option left is to terminate the pregnancy.. If an ectopic pregnancy is detected at an early stage, the development of the egg is stopped with the help of medication. If it is diagnosed at a more advanced stage, surgery is needed to remove the pregnancy sac.. Since ectopic pregnancy can be life-threatening for the mother, you should be aware of the signs of ectopic pregnancy and also you can take several precautionary measures to reduce the risk of having it. Check out this video to know the symptoms, treatment of ectopic pregnancy and the precautions needed to avoid it.. #EctopicPregnancy. #TubalPregnancy. For More Information: https://parenting.firstcry.com/articles/ectopic-pregnancy-reasons-symptoms-treatment/. Hit like, subscribe and comment or share it with other parents.. FirstCry Parenting helps you through your journey of Getting Pregnant, Pregnancy & Parenting. Happy Parenting! Subscribe Now: https://www.youtube.com/c/firstcrytv. Connect with FirstCry Parenting.. Download Our App. Android: https://bit.ly/2Vqtvjl. iOS: https://apple.co/2IKcmv0. Website: https://parenting.firstcry.com/. Follow us on:. Facebook https://facebook.com/FirstCryParenting/. Instagram https://www.instagram.com/firstcryParenting/. Twitter https://twitter.com/firstcryindia. Pinterest https://in.pinterest.com/FirstCryIN/. Disclaimer: The information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this video is for general information purposes only. Please seek medical advice from your doctor before proceeding.
www.medfreelancers.com. Ectopic Pregnancy or Tubal Pregnancy Laparoscopic Surgery. Ectopic Pregnancy or Tubal Pregnancy, is a complication of pregnancy in which the embryo attaches outside the uterus. Signs and symptoms classically include abdominal pain and vaginal bleeding. Less than 50 percent of affected women have both of these symptoms. The pain may be described as sharp, dull, or crampy. Pain may also spread to the shoulder if bleeding into the abdomen has occurred. Severe bleeding may result in a fast heart rate, fainting, or shock. With very rare exceptions the fetus is unable to survive.. For more details please visit here https://en.wikipedia.org/wiki/Ectopic_pregnancy. Services available in Delhi and NCR. Share, Support, Subscribe!!! Subscribe: https://goo.gl/MfIUV5. Youtube: https://www.youtube.com/user/medfreelancers. Twitter: https://twitter.com/Surgical_Videos. Facebook: https://www.facebook.com/SurgeryVideo. Mobile & WhatsApp No:+91 9910580561. E-mail:[email protected] About: MedFreelancers is a YouTube Channel, where you will find Surgical and Medical Videos with Medical Information in Hindi. You Can contact us for any help regarding medical:). —-- Please watch: “Endoscopic Septoplasty for Correction of Deformity of Septum | ENT Surgery “. https://www.youtube.com/watch?v=Hwi9LcD1HcY. ——
Ectopic Pregnancy Explanation: Symptoms, Causes and Treatment by Dr. Sweta Gupta (Clinical Director, Medicover Fertility). Blog Link: https://www.medicoverfertility.in/blog/ectopic-pregnancy,179,n,5475. Video Transcript. Q) What is Ectopic Pregnancy? 0:09. A) An ectopic pregnancy occurs when a fertilized egg implants somewhere other than the womb (uterus). This usually takes place in the fallopian tube, hence it is also known as tubal pregnancy.. Q)What are the Symptoms of Ectopic Pregnancy? 0:24. A)Some of ectopic pregnancy symptoms are vaginal bleeding, vomiting, weakness and pain in some areas like the shoulder tip, neck, or rectum.. Q)What are the causes of Ectopic Pregnancy? 0:38. A)The main cause of ectopic pregnancy is blockage in either of the fallopian tubes, that does not allow the fertilized egg to reach the uterus, causing unnatural implantation of the egg in the fallopian tube.. Q)What are the treatments available for Ectopic Pregnancy? 2:16. A)Ectopic pregnancy can be treated by providing medicines if it is in its initial stage, however in some cases surgeons also suggest removing the embryo with surgery. In some cases, if the fallopian tube is damaged, it is removed by the doctor.. Q)How Medicover Fertility solves the problem? 1:22. A)Medicover Fertility is a specialized fertility clinic with a very high success rate. It uses advanced technology fertility treatment to ensure that women with all kinds of severe fertility problems like ectopic pregnancy and many other conditions in which woman are not able to conceive.. Medicover Fertility follows European standards and offers patients an international level of treatment and facilities. Each Medicover Fertility Clinic in India is equipped with the latest technology facilities and infrastructure. Medicover has a team of highly qualified in-house fertility doctors.. #ectopicpregnancy #femaleinfertility #medicoverfertility. IVF Animated Video: https://www.youtube.com/watch?v=0jfFm…. IUI Animated Video: https://www.youtube.com/watch?v=RSsWW…. Having Question Related to Ectopic Pregnancy? Call for Free Fertility Consultation: +917862800700
https://www.laparoscopyhospital.com/dubai.html. This video demonstrate laparoscopic management of ruptured ectopic pregnancy performed by Dr R K Mishra at World Laparoscopy Hospital. The first successful surgical management of a ruptured tubal pregnancy occurred in April 1883, when the British surgeon Robert Lawson Tait performed a laparotomy and ligated the ruptured tube and the broad ligament. At a time when ectopic pregnancy was associated with a greater than 60% mortality rate, Tait lost only 2 of the first 42 patients on whom he operated.. By the 1920s, laparotomy and ligation of the bleeding vessels with removal of the affected tube had become the standard of care, and it remained so until the late 1970s, when operative laparoscopy and salpingostomy replaced laparotomy and salpingectomy.. In the 1980s and 1990s, medical therapy for ectopic pregnancy was implemented; it has now replaced surgical therapy in many cases. Thus, in less than 3 decades, management of ectopic pregnancy has evolved from emergency surgical treatment to conservative medical treatment.. Indications. Indications for surgical treatment of ectopic pregnancy include the following: The patient is not a suitable candidate for medical therapy.. Medical therapy has failed.. The patient has a heterotopic pregnancy with a viable intrauterine pregnancy.. The patient is hemodynamically unstable and needs immediate treatment.. Contraindications. The only contraindications to surgical management are the following: The patient has a medically treatable ectopic pregnancy.. The patient has other medical conditions that would make the risks associated with surgery unacceptable.
Treatment Approaches for Tubal or Ectopic Pregnancy Watchful Waiting for a Tubal Pregnancy. If blood tests show that the hCG level in the blood is falling, chances are that Medical Management With Methotrexate. If doctors detect the ectopic pregnancy early enough before it threatens to Surgery.
An early ectopic pregnancy may be managed with medicine. If you have low levels of hCG a hormone your body makes when you’re pregnant and there’s no damage to the fallopian tube, your doctor can. Laparoscopic procedures Salpingostomy and salpingectomy are two laparoscopic surgeries used to treat some ectopic pregnancies. In these procedure, a small incision is made in the abdomen, near or in the navel. Next, your doctor uses a thin tube equipped with a camera lens and light (laparoscope) to view the tubal area.
Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical. Surgical treatment: (2) Tubectomy or salpingectomy is performed only in severely damaged or ruptured tubes or if the patient does not desire further pregnancies. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical.
Treatment of diagnosed ectopic pregnancy includes medical management with intramuscular methotrexate, surgical management via salpingostomy or salpingectomy, and, in rare cases, expectant. Treatment approaches include expectant, medical (methotrexate), or surgical (salpingectomy or salpingostomy). Can be complicated by rupture, in which case may present in shock from blood loss and with unusual patterns of referred pain from intraperitoneal blood.
Primary treatment success and reduced risk of future pregnancy (intrauterine and/or ectopic) are prioritised outcomes for women with ectopic pregnancy not desiring future fertility. However, treatment success and repeat intrauterine pregnancy are the prioritised outcomes for women with ectopic pregnancy desiring future fertility. Treatment approaches include expectant, medical (methotrexate), or surgical (salpingectomy, salpingostomy).
Can be complicated by rupture, in which case may present in shock from blood loss and with unusual patterns of referred pain from intraperitoneal blood.
List of related literature:
Surgical management of a tubal pregnancy that is unruptured may involve a linear salpingostomy, removal of the ectopic pregnancy from the tube in an effort to salvage the tube or a salpingectomy—removal of the tube.
Women with fallopian tube blockages can use in vitro fertilization (IVF) to bypass the oviducts in an attempt to achieve pregnancy; IVF (see later) is now more common than tubal surgery.
For a woman with an unruptured ectopic pregnancy, surgical options include tubesparing salpingostomy or removal of the fallopian tube (salpingectomy).
from Conn’s Current Therapy 2020, E-Book by Rick D. Kellerman, KUSM-W Medical Practice Association, David Rakel Elsevier Health Sciences, 2019
The treatment of tubal ectopic pregnancy is based on the clinical findings at the time of evaluation (rupture, tubal abortion, viability of the tube), with consideration of the patient’s desire to conceive in the future.
According to NICE guidelines, for women with proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options because these treatments improve the chance of pregnancy.
Less commonly, the tubal pregnancy may undergo spontaneous regression and resorption, or may be extruded through the fimbriated end of the tube into the abdominal cavity (tubal abortion).
Sometimes, the ectopic pregnancy can be dislodged from its tubal attachment by manipulating the tube, and then expressing the ectopic pregnancy from the tube through the fimbriated end.
Women with extensive tubal disease have a greater chance of conceiving with an IVF procedure, so the extent and location of the intrinsic and extrinsic tubal disease should be ascertained by HSG and possibly laparoscopy in an effort to determine whether tubal reconstruction or IVF offers the better prognosis.
Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.
Hello Doc what will i do if my both fallopian tubes are blocked my OB told me maybe because of chocolate cyst but she is not sure. I’ve done undergo HSSG procedure, just an ultrasound. How can i make sure if my fallopian tubes are both blocked? I am trying to conceive for 11months. What procedure can i take doc? Please notice me. Thank you God Bless..
Great video! It particularly inspired me because I also want to be a doctor. Thanks Dr. Mishra for sharing this video of Laparoscopic Management of Ruptured Ectopic Pregnancy.
Dr. i had never seen the doctor like you who have such a great skills and you always share you skills because nobody wants to share skills you are the one best Dr.
Nice demonstration sir. Last month did two tubal ectopics laparoscopically. It took 40 minutes for me to complete procedure. But you took not more than 10 minutes skin to skin.������ Is that skill or experience?��
I had an ectopic pregancy in 2013 and it was the most traumatic experience of my life. I talked and prayed with my pastor, and God brought me through it.
Hello Dr plz tell me Meri 4 sezer hoi hn mery 3 boys hn baby mari hui paida hui 8 month hogae hn Meri tubal ligation sezer k dohran karwadi ghr walon ne per m apni beti k ly abhi tak roti hon plz batae Meri tubal ligation reversal hosakti hai Kiya m dubara pregnant ho sakti hon plz mam rply
Hello Doc what will i do if my both fallopian tubes are blocked my OB told me maybe because of chocolate cyst but she is not sure. I’ve done undergo HSSG procedure, just an ultrasound. How can i make sure if my fallopian tubes are both blocked? I am trying to conceive for 11months. What procedure can i take doc? Please notice me. Thank you God Bless..
Great video! It particularly inspired me because I also want to be a doctor. Thanks Dr. Mishra for sharing this video of Laparoscopic Management of Ruptured Ectopic Pregnancy.
Dr. i had never seen the doctor like you who have such a great skills and you always share you skills because nobody wants to share skills you are the one best Dr.
Nice demonstration sir. Last month did two tubal ectopics laparoscopically. It took 40 minutes for me to complete procedure. But you took not more than 10 minutes skin to skin.������ Is that skill or experience?��
Sir kindly tell me after this laproscopy surgery is periods or bleeding after few days come or not if that comes what should we do
I had an ectopic pregancy in 2013 and it was the most traumatic experience of my life. I talked and prayed with my pastor, and God brought me through it.
Hello Dr plz tell me Meri 4 sezer hoi hn mery 3 boys hn baby mari hui paida hui 8 month hogae hn Meri tubal ligation sezer k dohran karwadi ghr walon ne per m apni beti k ly abhi tak roti hon plz batae Meri tubal ligation reversal hosakti hai Kiya m dubara pregnant ho sakti hon plz mam rply