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Re: Two ectopic pregnancies in the same tube: how come?

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Wed, 27 Aug 1997 20:45:46 -0500 (CDT)


At Wed, 27 Aug 1997, Anneminke wrote:

>Almost two years ago I also had an ectopic, also in my left tube and we
>have, until July 5th, always thought that my left tube had already been
>removed!

>1) Why would a surgeon take only part of the tube out. (It has become
>'useless' so why not take the whole tube out)?

If your first ectopic pregnancy had not ruptured then most gynecologists would *not* remove the tube, since it is not considered "useless" in this situation. In fact, although some women will have a subsequent ectopic pregnancy, as you have, others will have a normal pregnancy using the same tube that was operated on. The procedure is called a "linear salpingostomy" and involves making a long cut into the tube, removing the tubal pregnancy, then allowing the tube to heal on it's own. However, if your tube was ruptured then many doctors would take the whole tube out during the first surgery.

My advice would be to send a release letter to the hospital where the first surgery was performed and request the "op report" which should discuss in detail which specific procedure was performed.

Sorry to hear about your ectopic pregnancies, and best of luck to you.

--
Ashley Hill
D. Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, FL
I apologize, but I am unable to answer personal e-mail
due to time constraints.



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