Ectopic Pregnancy

What Happens During Laparoscopy for Ectopic Pregnancy? TheVisualMD Video Library

Video Topic : After your anesthesia takes effect, your abdomen and vagina will be washed with a special disinfectant solution. Your feet will then be placed in stirrups. A catheter, or small tube, will be placed in your bladder to help empty it of urine. The catheter may be taken out before the procedure begins.

Your doctor will begin by placing a speculum into your vagina. A small instrument will then carefully be placed into the end of your cervix. This makes it possible for your doctor to gently move the uterus into different positions, so that your pelvic structures can be seen more clearly through the laparoscope.

Then a small incision, or cut, will be made in or just below your navel. A tube, called a trocar, will then be inserted into your abdomen. Through this, your doctor will fill your abdomen with carbon dioxide gas, which is like the air you breathe out. This gas helps your doctor see your pelvic structures more clearly. The laparoscope will then be inserted. Through this, your doctor will view the inside of your abdomen on a video screen. The laparoscope can also take pictures and videotape the procedure. Your doctor will be looking for anything that appears abnormal.If an ectopic pregnancy is found, your doctor will remove it. Because it is often necessary to use several instruments at this time, two or three additional small incisions will be needed. These incisions are made in the lower abdomen and they are often smaller than the incision in your navel. The method that your doctor uses to remove the ectopic pregnancy will depend on: its location, if it has already ruptured, your desires for future childbearing, and your current health.

For example, if the ectopic pregnancy is in a fallopian tube, your doctor may either open the tube and remove the pregnancy or remove the whole tube. You would still be able to have children if this occurs, as long as your other ovary and tube are normal.

Once the procedure is complete, instruments are removed and the gas released. The incisions are then closed with stitches and covered with a bandage. These stitches will be absorbed by your body over time, usually about 2-4 weeks. Ectopic Pregnancy

The uterus, or womb, is an important female reproductive organ. It is the place where a baby grows when a woman is pregnant. If you have an ectopic pregnancy, the fertilized egg grows in an abnormal place, outside the uterus, usually in the fallopian tubes. The result is usually a miscarriage.

Ectopic pregnancy can be a medical emergency if it ruptures. Signs of ectopic pregnancy include Abdominal pain Shoulder pain Vaginal bleeding Feeling dizzy or faint

Get medical care right away if you have these signs. Doctors use drugs or surgery to remove the ectopic tissue so it doesn t damage your organs. Many women who have had ectopic pregnancies go on to have healthy pregnancies later.

In the vast majority of ectopic pregnancies, the embryo does not complete its journey to the uterus and implants in the uterine tube, referred to as a tubal pregnancy. However, there are also ovarian ectopic pregnancies (in which the egg never left the ovary) and abdominal ectopic pregnancies (in which an egg was "lost" to the abdominal cavity during the transfer from ovary to uterine tube, or in which an embryo from a tubal pregnancy re-implanted in the abdomen). Once in the abdominal cavity, an embryo can implant into any well-vascularized structure-the rectouterine cavity (Douglas pouch), the mesentery of the intestines, and the greater omentum are some common sites.

Tubal pregnancies can be caused by scar tissue within the tube following a sexually transmitted bacterial infection. The scar tissue impedes the progress of the embryo into the uterus-in some cases "snagging" the embryo and, in other cases, blocking the tube completely. Approximately one half of tubal pregnancies resolve spontaneously. Implantation in a uterine tube causes bleeding, which appears to stimulate smooth muscle contractions and expulsion of the embryo. In the remaining cases, medical or surgical intervention is necessary. If an ectopic pregnancy is detected early, the embryo s development can be arrested by the administration of the cytotoxic drug methotrexate, which inhibits the metabolism of folic acid. If diagnosis is late and the uterine tube is already ruptured, surgical repair is essential. ectopic pregnancy

An embryo at the end of 7 weeks of development is only 10 mm in length, but its developing eyes, limb buds, and tail are already visible. (This embryo was derived from an ectopic pregnancy.) (credit: Ed Uthman)

A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Hand-Assisted Laparoscopy

Placement of one of the surgeon s gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.

Endoscopy is a procedure that lets your doctor look inside your body. It uses an instrument called an endoscope, or scope for short. Scopes have a tiny camera attached to a long, thin tube. The doctor moves it through a body passageway or opening to see inside an organ. Sometimes scopes are used for surgery, such as for removing polyps from the colon.

There are many different kinds of endoscopy. Here are the names of some of them and where they look. Arthroscopy: joints Bronchoscopy: lungs Colonoscopy and sigmoidoscopy: large intestine Cystoscopy and ureteroscopy: urinary system Laparoscopy: abdomen or pelvis Upper gastrointestinal endoscopy: esophagus and stomach Related Videos Human female reproductive system Implantation (human embryo) Implantation (human embryo) Implantation (human embryo) Implantation (human embryo) Implantation (human embryo) # of videosRelated Centers 14Cancer Introduction 12Prostate Cancer 8Colorectal Cancer Related links

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