A 32-year-old female had been unable to become pregnant for 6 years. Three weeks previously, she missed her period. She was admitted to hospital with left-side lower abdominal pain and nausea. Her B subunit human chorionic gonadotropin (HCG) and pelvic ultrasound confirms an ectopic pregnancy. Treatment includes which of the following?
If unruptured the fallopian tube should be spared; laparoscopic surgery is indicated, on the side of the ectopic pregnancy. An incision is made into superior (antimesenteric) border of the fallopian tube and the products of conception removed by gentle traction. Preserving the fallopian tube may improve the chances of future conception. The appendix should be removed to avoid possible confusion of the diagnosis at a subsequent date.
Immediate laparotomy and salpingectomy
If unruptured, the fallopian tube should be spared
Avoid incidental appendectomy
If stable, avoid surgery
Urethra & Penis