ABSTRACT
The rate of Ectopic Pregnancies (EPs) has increased from 0.5% in 1970 to 2% today. Although the incidence is low, the prevalence of EP in all women presenting with first-trimester bleeding, lower abdominal pain, or a combination of the two to an emergency department is between 6% and 16%. Several different conservative techniques have been developed to preserve tubal function. These include salpingotomy, partial salpingectomy followed by anastomosis, salpingectomy, and extirpation of the tubal pregnancy through the fimbrial end by milking it from the distant ampulla. Surgical treatment, usually via laparoscopy, is indicated in EP patients where methotrexate treatment is unsuitable or unsuccessful. Surgical treatment is also indicated where the diagnosis has been made by laparoscopy or when there is imminent or actual rupture of EP. Salpingotomy should be considered as the surgical treatment of choice when managing EP in the presence of contralateral tubal disease and the desire for future fertility.
