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Laparoscopic Surgery for Ectopic Pregnancy in Goregaon West, Mumbai

Home » Laparoscopic Ectopic Pregnancy

WHAT IS LAPAROSCOPIC ECTOPIC PREGNANCY?

Laparoscopic ectopic pregnancy surgery In Goregaon, Mumbai is a life-saving surgery done through tiny incisions to remove the ectopic pregnancy. the surgeon inserts a laparoscopic camera through a tiny incision;  views images on TV and performs surgery. It’s a pain-free; minimally invasive surgery with faster recovery and early discharge.

Laparoscopic Ectopic surgery in Goregaon, Mumbai is an emergency. Whenever diagnosed; it needs to be treated as soon as possible. Early diagnosis is life-saving as it leads to timely treatment. Ectopic pregnancy; if very early; may be treated conservatively either by injection or can be monitored with serial blood tests called B HCG. But if it shows any signs of bleeding it indicates a bursting or rupture of the fallopian tube. And this is a life-threatening emergency. There is no role of any medicines or injections whenever there is a rupture of an ectopic pregnancy.

Laparoscopic surgery is the gold standard for ectopic pregnancy. It has its distinct advantages in terms of very small incisions; less pain and faster recovery with early discharge.

Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.

  1. When your b HCG levels are more than 10000
  2. When your sonography report is suggestive of more than 4 cm size pregnancy
  3. When there is a sign of blood collection inside the pelvis
  4. When there is unbearable pain with or without giddiness
  5. If the medical treatment has failed and the beta hcg levels are rising.

Pre Operative Preparations:

  1. You will be asked to carry all your investigation reports which include your complete blood count; liver, thyroid; kidney function tests and other preoperative tests, and the x-ray chest.
  2. You will be asked to be on a light diet a day prior to surgery especially to avoid milk and milk products as they bloat your stomach. And if you are admitted in an emergency; you will be given special injections to prevent vomiting before the surgery.
  3. If your hemoglobin level is low; your gynecologist will ask you to reserve blood of your group at a nearby blood bank if there is a need for blood transfusions.

This procedure is done under general anesthesia in the operating room.

  1. A small incision is placed around your umbilicus and through this your abdomen is inflated with Co2 gas and then a fibreoptic telescope is introduced and all abdominal organs are inspected.
  2. Two or Three more such tiny incisions are placed on the abdomen through which other tiny laparoscopic instruments are inserted.
  3. The affected fallopian tube is inspected. Many times your abdomen will have to be cleared of blood and then only it is possible to see the fallopian tube completely. If the fallopian tube has just started oozing and the pregnancy is smaller; the fallopian tube can be preserved; pregnancy removed and the fallopian tube may be kept open or joined by taking the stitches. But if the fallopian tube has burst completely; removal of the affected fallopian tube will be needed to save your life.

Postoperative Period:

  1. You will be in the recovery room for 2 hrs after you wake up from anesthesia. You may feel sleepy for the next few hours after which you will be shifted to your room.
  2. You may have mild pain in your shoulder or back which is because of the gas used in surgery but it will subside in a day or two.
  3. You may have some discomfort in the area or you may feel tired for a few days after the procedure but with each passing day, you feel better.
  4. Contact your doctor immediately if the pain does not go away or if it is associated with nausea and vomiting or any other problems.

As with any surgical procedure, there are associated risks and complications which include:

  1. Problems of anaesthesia
  2. Injury to internal organs
  3. Bleeding and infection

Any specific risks and complications will be discussed with you prior to the procedure.

Dr. Mrs. Dimple Doshi is a lady gynecologist; practicing at Vardaan Hospital situated in Goregaon West; Mumbai. We have a range of packages for laparoscopic ectopic pregnancy surgery depending on the type of room you select.

Economy ward/ general room : ₹ 50,000

Semi special room: ₹ 68000 to ₹ 75000

Deluxe Room: ₹ 1.2 lacs

Super deluxe room: ₹ 1.5 lacs

Suit rooms: ₹ 2 lacs

  • Q: WHAT DOES ECTOPIC PREGNANCY MEAN?

    A: Ectopic pregnancy means a pregnancy that is not in the uterus and somewhere else.

    Q: WHEN CAN ECTOPIC PREGNANCY BE DETECTED?

    A: Ectopic pregnancy symptoms usually develop after 4 weeks when the embryo starts producing enough hormones to cause symptoms or when it starts growing which can slowly lead to stretching of tissues and internal bleeding. However, some women do not develop any symptoms until the early scan shows it or when they develop serious symptoms.

    Q: WHEN DOES AN ECTOPIC PREGNANCY RUPTURE?

    A: Ectopic pregnancy ruptures after about 6 to 16 weeks anytime. When this happens; the internal bleeding may be severe and life-threatening.

    Q: HOW IS ECTOPIC PREGNANCY DIAGNOSED?

    A: Ectopic pregnancy is diagnosed by doing the transvaginal ultrasound, and the growth is often confirmed by doing serial b HCG levels.

    Q: WHY DOES ECTOPIC PREGNANCY HAPPEN?

    A: Common causes of ectopic pregnancy are: Pelvic infection; sexually transmitted diseases; smoking; previous tubal surgery or ectopic pregnancy; or the use of hormonal agents.

    Q: WHAT DOES ECTOPIC PREGNANCY SURGERY COST?

    A: Ectopic pregnancy surgery is usually done by laparoscopy. The cost ranges from 40000 to 150000 depending upon the complexity of the case and the type of room selected.

    Q: WHERE DOES ECTOPIC PREGNANCY OCCUR?

    A: More than 90 % of ectopic pregnancies are found in the fallopian tube followed by the ovary; previous caesarean scar and abdomen which is very rare.

    Q: WILL ECTOPIC PREGNANCY SHOW A NEGATIVE PREGNANCY TEST?

    A: Usually ectopic pregnancy may show a delayed and weakly positive pregnancy test but it is not negative.

    Q: WHY DOES ECTOPIC PREGNANCY HAPPEN IN IVF?

    A: IVF may lead to one of the transferred embryos to implant into the tubes;at the same time the other one into the uterus.

    Q: ARE ECTOPIC PREGNANCIES COMMON?

    A: Ectopic pregnancies account for about 1 to 2% of natural conception. And about 4% of pregnancies conceived with assisted reproductive technologies

    Q: How Many Types Of Ectopic Pregnancies Are There?

    A: Tubal pregnancy; ovarian ectopic pregnancy; previous caesarean scar ectopic pregnancy; heterotypic pregnancy; and a very rare variety of abdominal ectopic pregnancies are the types of ectopic pregnancies.

    Q: HOW MUCH DOES AN ECTOPIC PREGNANCY HURT?

    A: The pain of ectopic pregnancy may be in the pelvis; or in the abdomen, shoulder and neck; in severe conditions when the blood trickles all over the abdomen. This pain can be dull to severe and sharpshooting in severe cases and may be felt on one side or all over the abdomen.

    Q: HOW MUCH BLEEDING CAN HAPPEN IN ECTOPIC PREGNANCY?

    A: Bleeding in ectopic pregnancy may be from mild oozing to up to 3 litres of blood collection inside the abdomen if neglected and not treated on time.

    Q: HOW OFTEN DOES THE PAIN OF ECTOPIC PREGNANCY HAPPEN?

    A: The pain of ectopic pregnancy may be continuous with periodic worsening until treated completely.

    Q: CAN I GET PREGNANT AFTER ECTOPIC PREGNANCY?

    A: The surgery for ectopic tubal pregnancy may require its removal if it has ruptured. So if the opposite fallopian tube is healthy; you can get future pregnancies. A past ectopic pregnancy does not affect future pregnancies.

    Q: DOES ECTOPIC PREGNANCY ALWAYS REQUIRE SURGERY?

    A: Small unruptured ectopic pregnancies with low levels of b HCG hormones can be managed with injection of methotrexate either in single or multiple doses. But big and ruptured pregnancies do require urgent surgery which is life-saving.