Proof GEU is
often difficult and time-consuming, since by far not in all cases, ectopic
pregnancy detectable by ultrasound. An ultrasound can often describe only
indirect signs GEU (higher endometrium, free fluid in the uterus) to diagnosis
based on a series of ultrasound examinations and blood (the level of the beta
subunit of human chorionic gonadotropin - hCG). The gold standard in the
diagnosis and treatment of GEU is a laparoscopy, but although it is a
performance mini-invasive, still operating with certain risks and
complications. It is therefore important to indicate it judiciously.
Laparoscopy
allows the detection or exclusion of ectopic pregnancy, its location and the
surrounding examinations, particularly reproductive organs (state unaffected
oviduct for further progress and prognosis of patients very significantly). Of
course then allow the surgical removal of an ectopic pregnancy. Drug treatment
GEU (local in laparoscopy or systemic injection) is possible - used
chemotherapeutic agent methotrexate - but for its possible side effects,
uncertain effect and time-consuming in our conditions rarely used. Classic open
(laparotomy) approach to pregnancy is now used only rarely, mostly in peracute
cases, accompanied by a large intra-abdominal bleeding and shock.
If we ignore
the unique localization of an ectopic pregnancy, the standard surgical
treatment of tubal pregnancy salpingotomie (longitudinally opposite fallopian
tube) followed by aspiration of the product concept (fallopian tube usually leaves
no sutures to heal spontaneously) or salpingectomy (removal of the fallopian
tube including GEU).
This free review posted by Jhon Albert best friend of Joey Atlas
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