Ectopic pregnancy surgery

Treatment of diseases: ectopic pregnancy Indication 1, internal bleeding, there are shock or shock aura. 2, the embryo is still alive, the condition can not be stable for a long time. 3, long menopause, suspected of interstitial pregnancy. 4, after conservative treatment of the disease worsened or hematoma can not be absorbed for a long time. Preoperative preparation 1. Prepare for blood transfusion before surgery. 2. Choose general anesthesia or epidural anesthesia depending on the condition. Surgical procedure 1. Control the bleeding point first during surgery, then remove the blood in the abdominal cavity and check the affected side and the contralateral accessory. If the patient has given birth, a radical operation is feasible, and the fallopian tube on one side of the lesion is removed together with the pregnancy product. If the patient is unmarried and has low fertility and needs to retain his or her fertility, conservative surgery should be performed, ie, fallopian tube ostomy, fallopian tube fenestration, umbrella end discharge or fallopian tube anastomosis. 2, such as intra-abdominal bleeding more, it is feasible to transfusion. However, it cannot be used when: (1) Those with old blood or hemolysis. (2) Late pregnancy, mixed with amniotic fluid in the blood. (3) Those who have an infection. 3, before closing the abdominal cavity, try to clear the abdominal blood and blood clots, as far as possible to find the pregnancy products and parts. 4. The excised tissue is sent for pathological examination.

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