Gulshan Grover on Ace Medicare

Ectopic pregnancy definition


When a fertilised egg implants outside of the endometrial cavity, it is called an ectopic pregnancy. The ampullary area of the fallopian tube is the most prevalent location for ectopic pregnancy. ectopic pregnancy is a medical emergency that requires quick attention. If left untreated, it can cause severe internal bleeding, nausea, acute pain, infection, and, in extreme cases, death. Ectopic pregnancy is one of the primary causes of first-trimester mortality, accounting for around 4% of all pregnancy-related deaths.
signs of  ectopic pregnancy 4 week. Consult a doctor if you have mild pelvic discomfort, light bleeding, or a positive pregnancy test.
A woman's heterotopic pregnancy includes both intrauterine and ectopic pregnancies.

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Diagnosis and treatment of ectopic surgery


Ectopic surgery diagnosis pune

During the diagnosing process, the doctor inquires about the patient's medical history and recommends a few diagnostic tests. The clinical diagnosis of ectopic surgery is often made by analysing serum and hormone levels (human chorionic gonadotropin). Common ectopic surgery diagnostic tests include:

  • Pelvic exam - This test is often used to detect regions of discomfort or the presence of a mass in the fallopian tube or ovary.
  • Transvaginal ultrasound - This test is typically recommended by the doctor to determine the exact placement of the pregnancy. A wand-like instrument is introduced via the vagina during this procedure. This instrument generates pictures of the uterus, fallopian tube, and ovaries using sound waves.   
  • Human chorionic gonadotropin test - This test is recommended by doctors to check hCG concentration. The amount of hCG rises throughout pregnancy. The test can help determine the best therapy for an ectopic pregnancy.

The most frequent kind of ectopic pregnancy is a tubal pregnancy. 
Icd 10 code for ectopic pregnancy: O00.9.



Treatment for Ectopic Surgery in pune

The technique for treating ectopic pregnancy is typically determined by the severity of the disease. Medication or surgery are the primary treatment options for ectopic surgery.

  • Medication therapy - If an ectopic pregnancy is discovered at an earlier stage, medication treatment is typically indicated. Doctors recommend methotrexate as a medicinal therapy.  This medication is administered through injection in a single dosage. The doctor checks the hCG level before and after the surgery. If the initial dosage does not reduce the level of hCG, a second dose may be required. An ectopic pregnancy ultrasound is used to confirm the termination of an ectopic surgery.

Surgical therapy for ectopic pregnancy surgery is mainly determined by the kind of ectopic surgery. Salpingectomy as well as salpingostomy and cerclage are two forms of laparoscopic operations used to treat ectopic pregnancies.

  • Salpingectomy - This surgical surgery involves the removal of one or both fallopian tubes. To remove the fallopian tube, doctors create a tiny incision in your belly and insert a laparoscope and other surgical equipment. Salpingectomy lowers the risk of fallopian tube, peritoneum, and ovarian cancer. 
  • Salpingostomy - A procedure used to repair a broken tube or to remove an ectopic surgery. During this surgery, the doctor creates an incision and inserts a laparoscope to see the fallopian tube; if the fallopian tube ruptures owing to ectopic pregnancy surgery, the ruptured fallopian tube is removed using a salpingostomy. If the fallopian tube is not ruptured, the vasopressin medication is not used to reduce bleeding, is put into the tube.   

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