Laparoscopic conservative management of tubal pregnancy

The technical advancement in the field of minimal access surgery has greatly enhanced the possibility of both diagnosing and treating tubal pregnancy effectively.The incidence of tubal pregnancy has increased allover the world from 0.5% thirty years ago, to a present day 1-2%. Early detection and appropriate management will be the most effective means of reducing the morbidity and mortality associated with this condition.Laparoscopic treatment (specially by salpingostomy) of tubal pregnancy may offer major benefits superior to laparotomy in terms of less blood loss, less need for blood transfusion, less need for postoperative analgesia and a shorter duration of hospital stay and also preserve the female future fertility.from the present study, we concluded that, the treatment of tubal pregnancy, no longer necessarily requires laparotomy, and the laparoscopic management is an efficacious, safe and cost effective approach for the resolution of ectopic pregnancy problem. Conservative laparoscopic surgery is the treatment of choice in tubal pregnancy. Salpingectomy may be necessary if hemostasis cannot be obtained by conservative surgery, or if the tube cannot be salvaged.