What is the best way to treat ectopic pregnancy? It depends on the condition

Female friends who suffer from ectopic pregnancy must seek timely treatment, otherwise their lives may be in danger. Currently, there are several methods for treating this disease, including salpingectomy, conservative drug treatment, and fallopian tube fenestration and suture. The best one depends on the patient's condition.

1. Salpingectomy: Salpingectomy is a common treatment method for early ectopic pregnancy. For patients with severe ruptured fallopian tubes that are difficult to repair and accompanied by hemorrhagic shock, the affected fallopian tube can only be removed by laparoscopy or laparotomy, and a blood transfusion may be required.

2. Experts point out that there are many methods to treat early ectopic pregnancy. Corpus luteum destruction surgery is a new procedure that uses mechanical and drug methods to destroy the corpus luteum of pregnancy, causing a sudden drop in progesterone in the body that supports pregnancy, resulting in natural embryo death. The indications are: early unruptured ectopic pregnancy, when it is difficult to find the site of pregnancy, or the site of pregnancy is not conducive to surgical resection (cornual pregnancy and cervical pregnancy).

3. Conservative treatment with drugs: What is the best way to treat early ectopic pregnancy? If an ectopic pregnancy can be diagnosed in its early stages, before the fallopian tube ruptures, and there is no desire to have children, drug therapy is the best choice, as it causes less harm to the patient and the body can recover easily. However, it cannot be used for those who want to have children, because the killed embryos polarize in situ, often causing blockage of the fallopian tube.

4. Fallopian tube fenestration and suture : Fallopian tube fenestration and suture is a good method for treating early ectopic pregnancy. For ectopic pregnancy when the fallopian tube is not ruptured or the rupture of the fallopian tube is not large, laparoscopic surgery is performed to cut the fallopian tube, remove the embryo, and then suture it to maintain the function of the fallopian tube. This is the best treatment method for early ectopic pregnancy advocated today.

5. Once the diagnosis is confirmed, surgical treatment should be considered. When removing the fetus by cesarean section, the placenta should be handled with extreme caution because the placenta is implanted in the intestine or mesentery, and arbitrary removal will cause heavy bleeding. Therefore, the treatment of the placenta should be determined based on its attachment site, fetal survival, and the duration of death. If the placenta is attached to the uterus, fallopian tube or broad ligament, the placenta can be removed together with the attached organ. The placenta is attached to the peritoneum or mesentery. If the fetus is alive or dead soon (less than 4 weeks), the placenta should not be touched. The umbilical cord should be ligated and cut close to the placenta to remove the fetus, and the placenta should be left in the abdominal cavity. It will take about half a year for it to be gradually absorbed by itself. If it is not absorbed and infection occurs, another laparotomy should be performed to remove or drain it as appropriate. If the fetus has been dead for a long time, the placenta can be tried to be removed. If there are difficulties, the placenta should still be left in the abdominal cavity. Generally, partial placental removal is not performed. Preparations for blood transfusion must be made before surgery, and antibiotics should be used after surgery to prevent infection.