How is ectopic pregnancy surgery performed? Does it require open surgery?

Whether surgical treatment for ectopic pregnancy involves open surgery or not depends on the patient's specific condition. Currently, minimally invasive laparoscopic surgery (without large incisions) is commonly preferred. The procedure should be performed at a正规 medical facility, and the specific steps are as follows:

1. Prior to surgery, the doctor evaluates the patient to determine whether her physical condition is suitable for the procedure.

2. Once the patient is confirmed eligible for surgery, the doctor schedules the operation date and outlines the surgical process.

3. The patient lies flat on the operating table and receives general anesthesia. After the anesthesia takes effect, the surgeon makes a small incision of about 1 cm near the patient’s navel. A Veress needle is inserted through this incision to inflate the abdominal cavity, establishing and maintaining pneumoperitoneum (abdominal air pressure).

4. After insufflation, a laparoscope is introduced into the abdominal cavity to examine its internal condition—checking for blood clots and assessing the morphology of the uterus, both fallopian tubes, and ovaries for any abnormalities.

5. The laparoscopic instruments and electrocautery device are then inserted into the abdominal cavity. The fetal tissue is removed, the affected area is excised, and electrocautery is used to repair the site.