Laparoscopic tubectomy
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Laparoscopic tubectomy in case of ectopic pregnancy
The author: Puchkov K.V.
Laparoscopic tubectomy in case of ectopic pregnancy. Professor Puchkov K.V. is performing an operation (2017).
The operation is performed in case of progressive ectopic pregnancy, the term of pregnancy is 5 weeks. The patient is 39. In her anamnesis it is mentioned that she has been operated on for tubectomy on the left and for three cesarean sections.150 ml of blood have been found out during the operation. In the right fallopian tube fetus, having the sizes 4x2 cm, has been determined. For fast and successful operation performing Clermont Ferrand (KARL STORZ) uterine manipulator and a 5 mm Harmonic Scalpel Ethicon instrument are used. With the help of them tubectomy on the right is done. The dissected fallopian tube is removed from the abdominal cavity in a special plastic container. Then a careful lavage of operation zone by means of the saline solution is done. After that anticommisural gel is introduced. Operation duration is 15 minutes.