Treatment

The traditional treatment of EP has been laparotomy and salpingectomy. Over the last two decades, more conservative surgical and medical approaches have been developed that allow fallopian tube preservation, outpatient treatment, or shorter hospital admissions, and decreased medical expenditures. The treatment of EP can be divided into surgical or medical approaches. Most authors would agree that if laparoscopy is needed for diagnosis, a surgical approach is most appropriate. For unruptured EP, the most frequently used surgical approach is laparoscopic salpingostomy; the most frequently used medical approach is methotrexate treatment. For ruptured EP, laparotomy is the treatment of choice in hemodynamically unstable patients, although laparoscopic approaches have been utilized when the bleeding can be readily controlled.24

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