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Salpingectomy was performed by Lawson Tait in 1883 in women with a bleeding ectopic pregnancy; it is now established as a routine and lifesaving procedure [clarification needed]. Other indications for a salpingectomy include infected tubes (as in a hydrosalpinx) or as part of the surgical procedure for tubal cancer. [citation needed]
For this method, ultrasound is used to guide a needle to the ectopic pregnancy and substances such as potassium chloride and hyperosmolar glucose are injected directly into the gestational sac. [3] The use of this method can be limited due the location of the ectopic pregnancy and the experience of the physician with this technique.
However, the benefits seem to be higher when the hydrosalpinx is bilateral, visible on ultrasound, or both. [6] Salpingectomy removes the chronically infected hydrosalpinx, decreasing the risk of infection after oocyte retrieval and increasing the accessibility to the ovary; anyway, it is a surgical procedure and it could also affect the ...
The most common techniques for partial bilateral salpingectomy are the Pomeroy [20] or Parkland [21] procedures. The ten year pregnancy rate is estimated at 7.5 pregnancies per 1000 procedures performed, and the ectopic pregnancy rate is estimated at 1.5 per 1000 procedures performed. [5]
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The Salpingectomy procedure is the removal of a fallopian tube while in Salpingostomy an opening is created into the fallopian tube. A study found that patients that undergo these procedures have a similar recurrent ectopic pregnancy rate. 5% for Salpingectomy and 8% for salpingostomy.
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Most ectopic pregnancies (90%) occur in the fallopian tube, which are known as tubal pregnancies, [2] but implantation can also occur on the cervix, ovaries, caesarean scar, or within the abdomen. [1] Detection of ectopic pregnancy is typically by blood tests for human chorionic gonadotropin (hCG) and ultrasound. [1]