Surgical Behaviour by Laparoscopy and Laparotomy in Ectopic Pregnancy

The tubal ectopic pregnancy in evolution may lead to tubal abortion, tubal tearing or spontaneous resorption. Tubal abortion supposes the expulsion of the conception product, bleeding, pain, and it requires surgical intervention. Tubal tearing is associated with intraperitoneal hemorrhage and acute surgical abdomen, requiring urgent surgical intervention. Spontaneous resorption supposes the stop in evolution of the ectopic pregnancy and its resorption without side effects. The objective of this work consists in the importance of choosing the surgical behavior by laparoscopy or by laparotomy in ectopic pregnancy, according to conditions, indications and counter-indications. The surgical laparoscopic intervention has been decided taking into account the patients' stable hemodynamic state, which allowed for investigations to be carried out in dynamics and out of their wish for becoming pregnant. The classical surgical intervention by laparotomy has been decided considering the hemodynamically unstable character, the surgical emergency with impact on the vital prognosis of the mother.