Ectopic pregnancy( ectopic) is a dangerous condition in which a fertilized egg is implanted outside the uterine cavity. The location of the fetal egg can be a cervical or uterine tube( cervical or trumpet pregnancy), abdominal organs, rudimentary horn of the uterus( abdominal pregnancy), or ovary( ovarian pregnancy).Pipe ectopic pregnancy occurs more often than other species.
Ectopic pregnancy is the main cause of death of women during the period of gestation, so urgent surgical intervention is required in the above described condition. Today we explain to readers why ectopic pregnancy develops, how an operation is performed to remove an ectopic pregnancy, tell about the consequences of a pathological pregnancy.
Causes of ectopic pregnancy
The most common cause of ectopic pregnancy is the obstruction of uterine tubes and the violation of their contractile activity, which may be due to hormonal changes in the body of a woman.
Motor disorders can also be attributed to congenital anomalies in th
Excessive zeal scraping of the uterine cavity during abortion increases the risk of developing ovarian or abdominal ectopic pregnancy.
Using this method of contraception, such as an intrauterine device, can also cause ectopic pregnancy. From the spiral increases the contractility of the uterus, which often leads to the fact that the embryo can gain a foothold and begin its development. In this case, doctors talk about the need for surgery with an ectopic pregnancy in order to prevent the development of peritonitis, inflammation and bleeding.
Diagnosis and treatment of ectopic pregnancy
Diagnosis of ectopic pregnancy is carried out in the following ways:
- immunological tests, serological methods, clinical studies of urine and blood;
- determination of the level of the hormone progesterone;
When palpation, doctors can detect soft formation - a fetal egg. Pathological localization of the formation can be confirmed by ultrasound. Ultrasound is the main method of diagnosing ectopic pregnancy.
To clarify the diagnosis and treatment, doctors often resort to laparoscopy. This operation with ectopic pregnancy is carried out only in the early stages. Through small punctures, a portable camera is inserted into the abdominal cavity, which allows you to see the exact location of the fetal egg. If the diagnosis is confirmed, the doctor can carefully remove the embryo.
With internal bleeding, a puncture of the posterior vaginal fornix is performed. When the fallopian tube is broken through the needle, the dark blood is secreted
Treatment of an ectopic pregnancy is almost always surgical. The nature of surgical intervention depends on the age of the patient and her general condition, embryo localization, the degree of hemorrhage, and the severity of pathological processes in the affected tube.
The medicinal method of treatment is used only when the tube remains intact.
Salpingonotomy is a conservative operation in ectopic pregnancy, which is performed with minor damage to the fallopian tube.
Tubotomy is a serious operation, which is prescribed with large blood loss or a significant rupture of the tube.
In extreme cases, doctors perform a tubectomy. During this operation, the affected tube is completely removed.
If you abandon the operation to remove the ectopic pregnancy, then after 5-6 weeks( less often through 8-12) the pregnancy will be interrupted by itself, but such an interruption is life-threatening, because it happens by the type of rupture of a pipe or pipe abortion.
How does an ectopic pregnancy surgery?
A woman should pre-tune in the procedure for cleaning, because surgery with ectopic pregnancy can result in the removal of a damaged fallopian tube. Sometimes doctors prescribe a gentle way to abort pregnancy, when the fallopian tube is restored and performs reproductive functions after the operation.
In tubal ectopic pregnancy, the tube is completely removed, and with the ovarian one, the part of the ovary where the fetal egg is grown is separated. In cervical pregnancy, the uterus is completely removed, and in the abdominal pregnancy, a fertilized egg is removed from the abdominal cavity.
Girls who have encountered this problem, ask doctors how to do the operation with ectopic pregnancy. Through small incisions in the abdominal wall, surgeons inject all the necessary tools. The entire procedure for removing the fetal egg lasts from 45 minutes to an hour.
Consequences of ectopic pregnancy after
surgery Many women do not know what are the consequences of an ectopic pregnancy after surgery, is it possible to become pregnant and give birth to a baby.
Possible consequences after surgery for ectopic pregnancy will depend on how exactly the pregnancy was interrupted: the woman was given a simple operation, and the injuries of the reproductive organs were minimal, or she was removed with the fetal egg from the fallopian tube. If the doctors removed the tube completely, then in the future it will be difficult to conceive a child. But if a woman has good health and she is young, then there is a chance that she will become pregnant with a single tube.
Planning the next pregnancy is best done under the supervision of a doctor. After the operation with an ectopic pregnancy, a specialist will be able to select a medication and special physiotherapy procedures that will minimize the risk of re-development of this condition.