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Ectopic Pregnancy is a high risk condition characterized by an implantation of a fertilized egg on the outer endometrial cavity. This type of pregnancy is one of the major causes of death in the first trimester of the pregnancy. Surgical Management of Ectopic Pregnancy involves the evaluation and treatment associated with this type of pregnancies. The Management of Ectopic Pregnancy involves a number of procedures. A physician should perform a pregnancy test for woman who shows signs like abdominal pain, syncope, vaginal bleeding or hypotension. For pregnant patients, the physician ought to perform a prompt ultrasound evaluation to diagnose possible Ectopic or ruptured Ectopic pregnancy.
In the Surgical Management of Ectopic Pregnancy, equivocal ultrasound results must be combined with human chorionic gonadotropin levels of quantitative beta subunit. This type of measurement has enhanced the accuracy of diagnosis and allows advance detection of Ectopic pregnancies. In case a patient has a 1,500 mIU per ml or greater level of beta subunit of human chorionic gonadotropin, while the transvaginal ultrasonography show no intrauterine gestational sac, then Ectopic pregnancy should be suspected. In patients who are hemodynamically stable, diagnostic uterine curettage may well be appropriate.
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Also in those patients, who do not show increasing levels of beta subunit of human chorionic gonadotropin can undergo diagnostic uterine curettage. Surgical management of Ectopic Pregnancy is suitable when there is a low or declining level of beta subunit of human chorionic gonadotropin. Initial levels of beta subunit decide the success of medical treatment required in Ectopic Pregnancy. Surgical treatment is required when ruptured Ectopic pregnancy is suspected and also when the patient is not hemodynamically stable. Based on clinical examination result physicians are able to classify hemodynamically stable patients into high, intermediate, and/or low risk for Ectopic pregnancy.
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The general probability of Ectopic pregnancy is 39 percent in patients with vaginal bleeding and abdominal pain, but no signs of any other risk factors. During the assessment of patients for supposed Ectopic pregnancy, physicians must take a history and carry out a physical examination. They should then determine the risk stratification of the patient and order transvaginal ultrasonography. Diagnostic tests are an important part of the Surgical Management of Ectopic Pregnancy. These tests include ultrasonography, urine pregnancy test, beta-hCG measurement and seldom a diagnostic curettage. Earlier a few physicians have also used serum progesterone levels for the diagnosis of Ectopic Pregnancy.
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