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As in many other areas of medicine, we are treating more patients with ectopic pregnancy medically than surgically. But not all women are good candidates for medical therapy; some undergo surgical therapy by necessity, and some by choice.
Surgery should be considered only in women who are hemodynamically stable and whose transvaginal ultrasound (TVUS) examination shows a tubal ectopic pregnancy or an adnexal mass suggestive of ectopic pregnancy. If TVUS does not show an abnormality, it is unlikely that an ectopic pregnancy will be visualized or palpated at surgery.
Moreover, when we need to treat surgically, we can and should use minimally invasive ...