Dr Dimple Doshi

Laparoscopic Surgery for Ectopic Pregnancy in Goregaon West, Mumbai

Introduction: Is Sudden Abdominal Pain in Early Pregnancy a Warning Sign?

Are you experiencing sharp pelvic pain, light bleeding, or faintness during early pregnancy? These could be signs of an ectopic pregnancy—a condition where the fertilized egg implants outside the uterus. If left untreated, it can cause life-threatening internal bleeding. The good news? When diagnosed early, Laparoscopic Surgery for Ectopic Pregnancy offers a minimally invasive, uterus-preserving solution. It removes the ectopic pregnancy safely through tiny incisions, ensuring faster recovery, less pain, and the chance to preserve fertility.

Global & Indian Statistics

  • Globally, 1 in every 50 pregnancies is ectopic, often occurring in the fallopian tube.
  • In India, ectopic pregnancies make up 2% of all pregnancies and are a leading cause of maternal emergency admissions.
  • Over 90% of surgically treated ectopic pregnancies are now managed via laparoscopy for faster recovery and fewer complications.

What is Laparoscopic Ectopic Pregnancy Surgery?

Laparoscopic ectopic pregnancy surgery is a minimally invasive emergency procedure that removes the ectopic tissue through small incisions. It ensures quick recovery, minimal scarring, and better fertility outcomes.
  • Performed using a laparoscope—a camera-guided tool inserted near the belly button
  • Helps locate and remove ectopic tissue safely
  • Reduces the risk of internal bleeding and organ damage
  • Usually done under general anesthesia
  • Same-day discharge in most cases

Synonyms

  • Keyhole surgery for ectopic pregnancy
  • Laparoscopic ectopic removal
  • Minimally invasive tubal pregnancy surgery
  • Fallopian tube ectopic laparoscopy
  • Laparoscopic salpingectomy (if tube is removed)

How is laparoscopic ectopic pregnancy surgery performed?

This surgery is done under general anesthesia using a laparoscope and small tools to remove ectopic tissue with minimal trauma and faster healing.
  • A tiny incision is made near the belly button to insert a laparoscope
  • The abdomen is inflated with CO₂ for visibility
  • 2–3 small incisions are made to insert surgical tools
  • Surgeon removes ectopic tissue and inspects fallopian tubes
  • Tube is repaired or removed based on rupture severity

What are the indications for laparoscopic ectopic pregnancy surgery?

Surgery is indicated when medical treatment fails, pain increases, or bleeding begins—signaling rupture or life-threatening conditions.
  • β-HCG levels exceeding 10,000 IU
  • Ultrasound shows ectopic size > 4 cm
  • Signs of internal bleeding or hemoperitoneum
  • Severe abdominal pain or fainting spells
  • Failed medical management (e.g., methotrexate)

What are the pre-operative preparations for laparoscopic ectopic surgery?

Before surgery, you’ll undergo medical evaluation, blood tests, and be advised on diet and medication to ensure safety and smooth recovery.
  • Complete blood count, thyroid, liver, kidney tests
  • Chest X-ray and pre-anesthesia check-up
  • Light diet one day prior; avoid dairy
  • Emergency cases receive anti-emetic injections
  • If hemoglobin is low, blood backup is arranged

What happens during the laparoscopic ectopic pregnancy procedure?

Through small incisions, your surgeon removes ectopic tissue while inspecting and preserving fallopian tubes when possible.
  • Procedure duration: approx. 30–60 minutes
  • Fallopian tube is inspected for rupture or bleeding
  • If mild bleeding, tube may be saved (salpingostomy)
  • If rupture is severe, tube is removed (salpingectomy)
  • Abdomen is cleaned, and incisions are closed

What can you expect during the post-operative period?

After surgery, you’ll be monitored for a few hours. Mild discomfort is expected but managed with medication for a smooth recovery.
  • 2–3 hours of observation in the recovery room
  • Mild shoulder or abdominal pain due to CO₂ gas
  • Drowsiness and mild incision site discomfort
  • Clear fluids started within a few hours post-op
  • Discharge typically same or next day

What does recovery after laparoscopic ectopic surgery look like?

Most women recover within 1–2 weeks, with minimal downtime. Light activity can begin in 3–4 days with full healing in two weeks.
  • Start walking within 6–8 hours post-op
  • Resume light work in 3–5 days
  • Full recovery in 10–14 days
  • Follow-up appointment in 7–10 days
  • Avoid heavy lifting for at least 2 weeks

What are the risks or complications of laparoscopic ectopic surgery?

While safe, risks include infection, bleeding, and injury to nearby organs. Ruptured ectopics increase urgency and complexity.
  • Bleeding and infection at incision sites
  • Injury to bowel, bladder, or blood vessels (rare)
  • Pelvic adhesions in some cases
  • Anesthesia-related reactions
  • Future ectopic risk in remaining tube

Who is the best gynecologist in Mumbai for laparoscopic ectopic surgery?

Dr. Dimple Doshi at Vardaan Hospital, Goregaon West, is a leading lady gynecologist known for successful laparoscopic ectopic surgeries.
  • 25+ years of gynecological surgical experience
  • Specialist in minimally invasive emergency care
  • Personalized treatment and holistic guidance
  • State-of-the-art OT and laparoscopic equipment
  • Excellent recovery and fertility outcomes

What is the cost of laparoscopic ectopic surgery in Mumbai?

The cost ranges based on room type and case complexity. Vardaan Hospital offers transparent packages for every need.
  • Economy Ward / General Room: ₹50,000
  • Semi-Special Room: ₹68,000 – ₹75,000
  • Deluxe Room: ₹1.2 lakhs
  • Super Deluxe: ₹1.5 lakhs
  • Suite Room: ₹2 lakhs

Why choose Dr. Dimple Doshi for ectopic pregnancy surgery?

Dr. Dimple combines expertise, empathy, and precision in laparoscopic ectopic surgery, ensuring your safety and future fertility goals.
  • Prompt emergency handling of ectopic cases
  • Focus on preserving reproductive organs
  • One-on-one counseling on prevention & future care
  • Karl Storz Laparoscopic System and team support
  • Trusted by 10,000+ patients across Mumbai

FAQs About Laparoscopic Surgery for Ectopic Pregnancy

Q1. What does ectopic pregnancy mean?

Ans. A pregnancy that occurs outside the uterus, usually in the fallopian tube.

Q2. When can ectopic pregnancy be detected?

Ans. Usually between 4–6 weeks by transvaginal ultrasound and β-HCG levels.

Q3. Does every ectopic need surgery?

Ans.No, early and small ectopics may be treated with methotrexate injection if not ruptured.

Q4. Is pregnancy possible after ectopic surgery?

Ans. Yes, especially if the other fallopian tube is healthy.

Q5. How painful is an ectopic pregnancy?

Ans. Pain can range from dull to sharp, and increases if rupture or bleeding occurs.

Q6. Where does ectopic pregnancy occur?

Ans. Mostly in fallopian tubes; rarely in ovary, cervix, or abdominal cavity.

Q7. What’s the success rate of laparoscopic ectopic surgery?

Ans. Over 95% success with early diagnosis and timely intervention.

Medical Codes for Laparoscopic Ectopic Pregnancy

ICD-10 Codes (Diagnosis Codes)

These are used to classify the diagnosis of ectopic pregnancy:
ICD-10 Code Description
O00.1 Tubal pregnancy (most common ectopic site)
O00.2 Ovarian pregnancy
O00.3 Abdominal pregnancy
O00.8 Other ectopic pregnancy (e.g., cervical or cesarean scar)
O00.9 Ectopic pregnancy, unspecified
O08.1 Delayed or excessive hemorrhage following ectopic or molar pregnancy
O08.4 Sepsis following ectopic or molar pregnancy

CPT Codes (Procedure Codes)

These are used to classify the procedure of laparoscopic ectopic pregnancy surgery:
CPT Code Description
59151 Laparoscopic treatment of ectopic pregnancy; with salpingectomy (removal of fallopian tube)
59150 Laparoscopic treatment of ectopic pregnancy; with salpingostomy (incision and removal without tube removal)
58673 Laparoscopic salpingectomy (used when removing fallopian tube due to other causes but applicable if no ectopic-specific code used)
58662 Laparoscopy, surgical; with fulguration or excision of lesions (may be used for adnexal mass or if code-specific justification is needed)