Laparoscopy ectopic pregnancy: features of the operation consequences

In this article we offer you to get acquainted with laparoscopy ectopic pregnancy, which occurs quite often, approximately 5 %. Unfortunately, the child rescue did not succeed, the sooner to take measures for the interruption, the greater the chances to save the appendages, or even the life of a woman. If you feel signs of pregnancy, then immediately should go to the gynecologist. The sooner you do the ultrasound, the faster and easier you can get rid of unpleasant consequences. In addition, ultrasound helps to determine the site of implantation of the ovum. If the ultrasound revealed that the pregnancy is ectopic, then we must act immediately (interrupt). How can I do that? What is laparoscopy pipe ectopic pregnancy? All of these questions you will find the answer in this article.

Ectopic pregnancy

To begin To understand how fertilization occurs. It is the fusion of two sex cells (eggs and sperm) in the fallopian tube. After this process already fertilized egg enters the uterus and attaches to the wall. This is an example of a normal pregnancy, which is found in ninety-five cases out of a hundred. In other cases, the fertilized egg stays in the fallopian tube and attaches anywhere outside the uterus. Where can consolidate the germ:

• In the fallopian tube;
• Abdominal cavity
• In the ovary.

This is the wrong location of the fertilized egg and is called an ectopic pregnancy. To keep the child in this case will not work, the doctor is required to appoint the procedure for its termination. Laparoscopy ectopic pregnancy – the most popular and gentle method of treatment. If the time to take action, then after the operation after some time you can begin to plan the birth of a child.

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Ectopic or extrauterine pregnancy – a pathology, in which the fertilized egg is implanted outside the uterine cavity. It is worth noting that in recent years the number of cases is growing.

What are the causes that provoke this pathology? These include the following:

• Infectious diseases of the uterus;
• Diseased appendages;
• Disorders or inflammatory processes in the bladder;
• Congenital abnormal anatomy of the tubes;
• Operations transferred to the fallopian tubes;
• Hormonal failure;
• Frequent abortions;
• The presence of a helix (method of contraception);
• A long course of treatment hormonal therapy;
• Genital endometriosis;
• Swelling of the fallopian tubes and so on.

Laparoscopy pipe ectopic pregnancy, which develops in the fallopian tubes, is a must. The earlier we diagnose this pathology and to carry out the operation, the greater the likelihood of preservation of appendages. In addition, you need to find out the cause and do the treatment to avoid recurrence.

Types of ectopic pregnancy

It is Possible to result the following classification of ectopic pregnancy (where a fixation of the ovum):

• Tube;
• Ovarian;
• Abdominal;
• Cervical.

The First type is the most common (98 % of all cases). Tubal ectopic pregnancy occurs in the lining securing one of the fallopian tubes. You can pipe to divided into several subtypes (due to the location in the fallopian tube),

• Ampullary;
• Istericeski;
• Intersticialny;
• Timbrally.

The Other three species of these are quite rare cases. In ovarian ectopic pregnancy solidifies in the cavity of the follicle in the abdominal – in the abdominal cavity, and cervical – in the cervix.

Treatment Methods

It is important to detect the presence of an ectopic pregnancy. This will help her symptoms. First, the woman may feel a dull ache, perhaps she will give in the waist. If at this stage not to go to the doctor, soon the pain will acute. It is not necessary to take pain relieving drugs as it may interfere in the diagnosis of ectopic pregnancy. The same woman may feel fatigue, dizziness, and nausea.

Please note selection, they can have a bloody color, it speaks to the internal bleeding because of damage to appendages. If the pregnancy test is positive and you notice these symptoms, then be sure to go to the gynecologist. Please note that loss of consciousness – this is also a symptom of this disease.

The Doctor must send you to ultrasound examination, in which is found the site of implantation of the ovum. After receiving the results, the gynecologist prescribes treatment. Ways to get rid of ectopic pregnancy:

• A laparotomy (surgery that involves opening the abdominal wall, removal of the embryo together with the tube or even the ovary);
• Laparoscopic surgery (ectopic pregnancy is a better and less dangerous method, during the operation, make only a small puncture);
• Drug treatment.

Now let's talk a little more about each method.

Laparotomy – removal of the ovum, which can lead removetubes or ovaries. This method was used earlier, before the advent of laparoscopy. However, in some clinics it is practiced to this day. It can be the following cases:

• Not available necessary equipment;
• There is no specialist who can do the surgery laparoscopy;
• The critical condition of the woman, dangerous to her life.

A Laparotomy is carried out in several ways:

• Sex;
• Lobotomy;
• Tubectomy.

The First method allows you to preserve and protect from the cut fallopian tube. The ovum is extruded, it is possible if it is located near the exit of the pipe. After the operation the woman can become pregnant.

Lobotomy involves incision or removal of part of the tube with the fertilized egg. The purpose of this practice if you eject a fertilized egg by extrusion is not possible. The probability of repeated pregnancy in a woman after the surgery remains but is greatly reduced.

Tubectomy – removal of the fallopian tube and, if necessary, of the ovary. Of course, pregnant women have the chance remains, however, to save his life she can. As a rule, it is prescribed only in emergency situations where seconds count.

We Now turn to more popular in the present method, this operation is laparoscopy ectopic pregnancy. It is considered to be less dangerous and gentler. This method below we are going to take a lot of time.

The Last way – this medication. It should be noted that doctors don't trust him, preferring surgery. This method is used very rarely and very little. Its essence lies in the introduction of the drug "Methotrexate" who kills and breaks down the embryo. The chance of becoming pregnant after a successful medical treatment is practically not reduced compared to the one that was before him.

Laparoscopy

As mentioned earlier, laparoscopy of ectopic pregnancy – the best method of treatment. We can immediately note that it is less traumatic. Laparoscopy helps painless to get rid of the ectopic pregnancy, that is, one which develops outside the uterus. Woman during surgery may not feel any pain or discomfort because it is done under General anesthesia.

The Surgeon must make a small puncture in the abdominal cavity and enter a special tool, which can extract the embryo from the fallopian tube. The whole operation is under the control of the ultrasound machine.

As has become clear, the child is laparoscopy ectopic pregnancy can not survive. But time surgery helps save the lives and health of women. At the first suspicion of an ectopic pregnancy go to the doctor. The sooner steps will be taken treatment of ectopic pregnancy, the more likely the woman in the future to have children.

During the operation, the doctor decides to keep the pipe or not. It all depends on some factors. Fallopian tube remain if:

• Small term of pregnancy;
• Fallopian tube not much affected.

If these two important conditions are met, the doctor makes a small incision to remove the ovum. After this surgery she is recovering and maintains your reproductive health. Otherwise (if the ovum is quite large and much injured the fallopian tube), the doctor decides to remove part or the entire pipe.

Once again, please note that the sooner you ask for help to the gynecologist, the more likely to maintain their reproductive health. Be careful and listen to the signals your body. To summarize this section, we want to highlight the advantages of modern surgery called laparoscopy.

• Small blood loss;
• Fast recovery after the operation;
• Rare postoperative complications;
• No scars.

This operation has some advantages:

• When surgery occurs the laundering of the abdominal cavity from the blood (blood is the cause of the formation of adhesions, the latter, in turn, can lead to a repeat ectopic pregnancy);
• After surgery, the surgeon can assess the condition of the second tube and appendages;
• Possible reconstructive surgery (dissection of adhesions, restoration of patency of the pipes).

The sooner you will be assigned to laparoscopy, the greater the probability of conception in the future a healthy baby.

Save tube

Laparoscopy ectopic pregnancy with preservation of the pipe is conducted with the observance of certain rules: the pregnancy is small, the pipe is not affected. In other cases, the doctor will not be able to leave the pipe because it may cause recurrence of the disease, as it will no longer fulfill their intended purpose.

Through a laparoscopy ectopic pregnancy with preservation of the pipe is possible only if timely treatment to the hospital. Listen to your body's signals. The development of ectopic pregnancy is dangerous because of the wall of the fallopian tube are stretched with the growth of the ovum. As a result, they do not stand and burst. At this stage, it is important for the preservation of pipe, and a woman's life.

If you feel the first symptoms of ectopic pregnancy then contact your gynecologist.Diagnosis it comes down to a few points:

• Blood test for HGH;
• Ultrasound.

Ectopic pregnancy test even conducted at home by yourself, would show a positive result. However, during the ultrasound won't be detected by the ovum in the uterus. In this case, an urgent need to go for laparoscopic diagnosis. If the time to do it, then the chances of saving the pipes and preservation of reproductive health is very high.

Delete pipe

Surgery is laparoscopy ectopic pregnancy with the removal of the pipe is simply necessary in some cases. You will learn about them in this section of the article.

The operation Itself is completely safe and has a rapid recovery period women after her. It is done under General anesthesia. It is necessary to make three punctures (diameter of not more than one centimeter) for the laparoscopic tubes and laparoscope. The second is necessary in order to display the picture, which is necessary to assess the condition of the bodies.

Laparoscopy is of two types:

• Lobotomy (about it we said above, the surgeon cuts the fallopian tube and removes the fertilized egg, keeping the functions of the pipe);
• Tubectomy (removal of the fallopian tube).

Laparoscopy of the fallopian tubes ectopic pregnancy with removal of tubes needed in an emergency and very severe cases (if the preservation of the fallopian tube carries a greater risk than removing it). Keep it in the case, if no structural changes, otherwise it is pointless and dangerous.

So, tubectomy doing if:

• There are irreversible changes of the fallopian tubes;
• Re an ectopic pregnancy with implantation in the same pipe as before and after lobotomie;
• Adhesions in the pelvis.

During the operation, the excised mesosalpinx and istericeski Department. Fallopian tube is removed along with the fertilized egg. To assess the condition of “pregnant” pipe inspection helps the second. After researching the surgeon makes a decision: you can leave a sick pipe or it is better to remove.

For reproductive health care and the ability to get pregnant and give birth to a healthy baby you should not delay a visit to the gynecologist. Timely treatment and treatment – is the key to your happy future.

Restoration

So, laparoscopy – removal of ectopic pregnancy, which if timely treatment is more gentle. We have previously highlighted the advantages of this operation. One of them – rapid recovery of women after laparoscopy. Removal of ectopic pregnancy with this method is the piercing of small holes for the introduction of special devices. In this regard, the sutures are removed already on the fifth-seventh day after surgery in the absence of an inflammatory process.

Doctors ' Recommendations in the postoperative period:

• Treatment of wounds with iodine for two weeks;
• For two weeks solely to take a shower;
• Do not eat fatty and spicy;
• Sex is possible only after the restoration of the menstrual cycle;
• Planning pregnancy is discussed with the doctor (should wait from 1 month to 4).

Bleeding

In this section, we will discuss bleeding after laparoscopy for ectopic pregnancy. Many women who have undergone this operation, I have noticed that after 20-30 days starts bleeding. They blamed it on a side effect from the prescribed treatment. The following is a sample list of drugs for rehabilitation:

• Chloride calci;
• «Metrogel»;
• «Actovegin»;
• «Cicloferon»;
• «it»;
• «Diclofenac»;
• «Gluconate SA»;
• «Wobenzym»;
• «Recruitin»;
• «veteran».

Treatment should begin immediately after surgery, to use those medications that are prescribed by your doctor. Before you open the bleeding can get blood clots, it is quite normal after a laparoscopy. Open the bleeding – nothing like a period.

Highlighting

Spotting after laparoscopy of ectopic pregnancy refer to the coming period. Immediately after surgery, don't be alarmed if the discharge will have “spotting” character. If spotting appeared earlier than 25-30 days after the surgery, it speaks of uterine bleeding. Be sure to consult your doctor.

Also do not delay your visit to the gynecologist if there are no selections for more than a month after the surgery. This may indicate that the disturbed hormonal balance and to pass special course of treatment.

If the body has an infection, then the allocation will have an unpleasant odor. The consistency resembles porridge. Be sure to get tested and treatment.

Monthly after surgery

Period after laparoscopy of ectopic pregnancy come not later than thirty days after the surgery. Do not worry if you see blood clots.

Absence of menstruation tells about hormonal failure after surgery. Talk to your doctor. He is obliged to send you for tests that will confirm or disprove this theory. In case of any deviations from the norm immediately go on consultation to the gynecologist.

Pregnancy after laparoscopy

Pregnancy after laparoscopy of ectopic pregnancy is possible. Please note that it is necessary to consult on this matter with the gynecologist. If there are no contraindications, then start planning for pregnancy can be as early as next month.

It is Worth considering that, to prevent the recurrence of ectopic pregnancy is necessary for a complete examination and determine the cause. After you identify and resolve the problem, we can safely make another attempt of conceiving a baby.

The long-Awaited pregnancy after laparoscopy of ectopic pregnancy may be a long time to come. In this case, the women come to the aid the IVF procedure. It is important to mention that the way to get pregnant may even those girls and women who during the operation was removed a fallopian tube.

Reviews

Laparoscopy ectopic pregnancy feedback is extremely positive. Because this method is quick recovery and ability to maintain reproductive health. In addition, the doctor during the operation can eliminate some problems that prevented pregnant woman. These include dissection of adhesions, or restoring patency of the tubes.