Radical surgery for tubal pregnancy

Radical surgery for tubal pregnancy refers to the removal of the entire affected side of the fallopian tube, in addition to tubal pregnancy, can also be used for other fallopian tube diseases. Treatment of diseases: tubal pregnancy Indication 1. No fertility requirements. 2, there are obvious chronic fallopian tube inflammation may be re-tubal pregnancy. 3, the fallopian tube of pregnancy is ruptured, and the damage is serious, and the function cannot be restored after repair or repair. Contraindications 1. Severe cardiovascular disease and pulmonary insufficiency. 2, diffuse peritonitis. 3, umbilical hernia, hernia, abdominal wall hernia, inguinal hernia or femoral hernia. 4, middle and late pregnancy. 5, abnormal blood coagulation. 6, due to a history of surgery, extensive scarring of the abdominal wall or extensive adhesions in the abdominal cavity. 7, obese. 8, ectopic pregnancy hemorrhagic shock. Preoperative preparation 1. Preparation of the skin of the abdomen and vulva (including the cleaning of the umbilicus). 2, the bowel preparations before the night, 0.1% soapy water enema. If it is possible to involve the operation of the intestine, 3 days of bowel preparation is performed before surgery. 3, preoperative medication such as a large range of surgery, may involve the intestinal tract, should be used 3 days before surgery to prevent infection. Sedative, atropine or scopolamine was injected 30 min before surgery. 4, indwelling catheter. 5, prepare blood or prepare for autologous blood transfusion. Surgical procedure 1. The electrocoagulation method relies on monopolar, bipolar coagulation or internal coagulator to perform electrocoagulation treatment one by one at the junction of the resected part and the normal tissue, including the oviductal mesenteric and the proximal uterine horn. Usually it is edged and cut. 2. The ferrule ligation method firstly inserts the ferrule into the abdominal cavity from the same side operation hole, and the opposite operation hole uses a separating forceps to place the ferrule on the affected side fallopian tube, so that the ferrule encircles the fallopian tube, and then the fallopian tube is clamped by the circle. Tuck the ferrule over the fallopian tube and tighten the ferrule at the near corner. The same method is used to tie 2 to 3 lanes. 3, cut with a coagulation shear at 1cm at the ligation site, and carefully cut the coagulation treatment again, be careful not to burn the sleeve. 4, the specimen is taken out: the smaller specimen can be taken out through the 10mm casing sheath, the larger one can be put into the specimen bag, the bag mouth is first put out, and the specimen is taken out by the bag mouth. The removed specimen should be carefully examined for presence or absence of pregnancy (flock and embryo tissue). 5. Other steps are the same as before.