Major proceduresFree in the app
Laparoscopic salpingectomy / salpingotomy
Tubal ectopic unsuitable for medical treatment.
Source: NICE NG126Choose
| Salpingectomy | First line if the other tube looks healthy. |
|---|---|
| Salpingotomy | Consider if the other tube is damaged and fertility is wanted. |
Salpingectomy
- Enter; suction blood; identify the ectopic; inspect other tube.
- Lift the tube; coagulate and cut the mesosalpinx from fimbrial end to cornu.
- Remove in an endobag; wash out.
Salpingotomy
- Linear incision on antimesenteric border over the ectopic.
- Express / hydro-dissect the products; achieve haemostasis; heal by secondary intention.
- Serum hCG at 7 days then weekly to negative — about 1 in 5 need further treatment.
After salpingectomy: urine pregnancy test at 3 weeks. Anti-D (NICE 2026): not needed up to 11+6 weeks.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.