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Tubal Pregnancy

Tubal Pregnancy

Tubal pregnancy is also known as ectopic pregnancy - a condition where the fertilized egg implants itself in the fallopian tubes or any other tissue outside of the uterus. Tubal pregnancy can be life threatening, if not attended to in time. This is because it can lead to the rupture of the pelvic organ and consequent hemorrhage. It can also affect the woman's ability to become pregnant later. Since it is impossible to carry a tubal pregnancy to term, it becomes imperative to resort to surgery to remove the products of conception since they cannot develop into a fetus. This is done without damage to fallopian tubes, as far as possible. This can be done with laparoscopy in non-emergency situations. Tubal pregnancy can happen to any woman but there are some causes that can increase the likelihood of such a pregnancy condition. Some of the causes for tubal pregnancy are: Pelvic Inflammatory Disease, endometriosis or tubal scarring. Infection of the fallopian tubes such as gonorrhea or chlamydia can lead to a tubal pregnancy. The risk of ectopic pregnancy is manifold in cases of pregnancy after tubal sterilization. The use of the 'morning after pill' - emergency contraception is often noticed as a cause for tubal pregnancy.

An ectopic pregnancy is usually detected in the first 5 - 10 weeks of pregnancy. Ultrasound tests and hCG levels in the blood can help in identifying an ectopic pregnancy. The rate of increase of hCG in the blood is much slower in the case of an ectopic pregnancy or a potential miscarriage. Lower progesterone levels can also be an indication of likely tubal pregnancy. A woman having a tubal pregnancy will experience lower abdominal pain with cramping. There may be abnormal vaginal bleeding and breast tenderness. Lower back pain is another symptom. Severe bleeding and hemorrhage is the most dangerous symptom of ectopic pregnancy and needs prompt medical attention. If there is an emergency situation, there may be a need for blood transfusion.

Laparoscopy

Micro laparoscopy is a minimally invasive diagnostic surgical procedure. Laparoscopy enables the surgeon or a gynecologist to directly view the organs of the abdomen and pelvis. Laparoscopy minimizes hospital stay after surgery and recovery period too. Laparoscope is an instrument in the shape of a miniature telescope with a fiber optic system. The laparoscope is a sterile surgical instrument, which has special optics that allows small amounts of light to be transmitted effectively. A laparoscopy involves two cuts approximately 5 -10 cm long. The first cut is below the navel. A hollow needle is inserted. Carbon dioxide gas is pumped into the abdomen through this channel in the laparoscope. This is done to create a space within which the surgeon can look or operate. The laparoscope is inserted through a second small cut made on the abdomen. The exact position depends upon the procedure that is being conducted. The laparoscope can be moved around within the abdominal or pelvic cavity to give several different views to the operating surgeon. At the end of the procedure, the instruments are removed and the carbon dioxide gas is allowed to escape and the cuts closed with stitches.

Laparoscopy is used to check infertility. It is used for sterilization in women. It is also used to check ectopic pregnancy, causes of pelvic pain and masses.

Laparoscopy is used to diagnose causes of abdominal pain.

Laparoscopy helps to detect the presence of endometriosis.

The adhesions caused by abdominal scar tissue are separated by laparoscopic procedure.

Laparoscopy can diagnose fibroids.

Ovarian cysts can be identified with a laparoscope.

Laparoscopes assist in vaginal hysterectomy.

Pelvic Ultrasound

Pelvic ultrasound is used to detect and pain in the lower belly (pelvis) organs and examine the ovaries, uterus, cervix and the fallopian tubes. In men, it is used for bladder, prostrate gland and seminal vesicles study. A pelvic ultrasound reads clearly both the organs and structures that are solid and uniform like the uterus, prostrate gland or fluid-filled like bladder. It is usually used to find the cause of pelvic pain, such as ectopic pregnancy in women and tumors or masses. Transvaginal ultrasound helps in studying the uterus and other organs better.

Scrotal ultrasound is primarily used to evaluate the disorders of the testicles and surrounding areas. Pain and swelling in the scrotum and mass in the scrotum area or any other trauma can be detected and evaluated by a scrotal ultrasound. The scrotal ultrasound is a valuable tool in determining the cause of testicular pain and swelling. Ultrasound imaging helps to identity inflammation of the scrotum and an absent or undescended testicle, testicle torsion, abnormal blood vessel or a lump or tumor. Normally it is used to detect if the prostrate is enlarged.