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Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention.
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In clinically stable women in whom a nonruptured ectopic pregnancy has been diagnosed, laparoscopic surgery or intramuscular methotrexate administration are safe and effective treatments. The decision for surgical or medical management of ectopic pregnancy should be guided by the initial clinical, laboratory, and radiologic data as well as
Enhanced Recovery After Surgery (ERAS) pathways were developed with the goal of maintaining normal physiology in the perioperative period, thus optimizing patient outcomes without increasing postoperative complications or readmissions.
Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention.
4 kwi 2020 · Patients who are exhibiting signs or symptoms of ruptured ectopic pregnancy (hemodynamic instability, free fluid in the cul-de-sac on ultrasound, significant abdominal pain, or adnexal tenderness) should be emergently transferred to the care of a surgeon for immediate surgical intervention.1.
20 kwi 2021 · Early pregnancy and abortion care. Surgical management of miscarriage if bleeding heavily and unstable. Surgical or medical abortion for severe pre-eclampsia, other physiological compromise and maternal compromise – e.g. sepsis, chorioamnionitis, physiological compromise and complications of abortion.
The largest published study of first-trimester medication abortion patients involved 16,369 patients with pregnancies of 49 days of gestation or less and yielded a calculated ectopic pregnancy rate of 1.3 per 1,000 pregnancies 53.
