Question3: Ectopic pregnancy

Question 1

What would you see in a ruptured ectopic pregnancy?

Answer 1

Blood in the peritoneal cavity.

Question 2

What is the surgical procedure for a ruptured ectopic pregnancy?

Answer 2

Laparoscopic surgery (laparoscopic salpingectomy).

Question 3

What is the initial management for a ruptured ectopic pregnancy?

Answer 3

Resuscitate: Ensure airway is patent, administer high-flow oxygen.

IV fluid resuscitation: Establish two large-bore IV lines and begin rapid crystalloid infusion.

Blood transfusion: Arrange for cross-matched blood if significant blood loss is suspected.

Question 4

What are the benefits of laparoscopic surgery over open surgery?

Answer 4

Smaller incisions, leading to less tissue trauma and lower infection risk.

Faster recovery time and shorter hospital stay.

Question 5

What should you monitor post-operatively after laparoscopic salpingectomy?

Answer 5

Vital signs
Haemoglobin levels
Wound site for infection
Booking bloods: Rhesus status (if Rh-negative, administer Anti-D immunoglobulin)
Counsel the patient

Question 6

What medications should be provided after surgery?

Answer 6

Analgesia
Clexane (for thromboprophylaxis)