SURGICAL APPROACHES IN THE MANAGEMENT OF ECTOPIC PREGNANCY: COMPARISON BETWEEN SALPINGECTOMY, SALPINGOSTOMY AND CONSERVATIVE METHODS

Abstract

Ectopic pregnancy is a condition in which the fertilized egg implants outside the uterus, most commonly in the fallopian tubes. Therefore, treatment depends on the severity of the condition and the patient's preferences, but generally involves the administration of medications such as methotrexate to stop the development of the embryo in the early stages, or surgery to remove the ectopic embryo, often involving partial or total removal. of the affected tube. Objective: To compare the surgical approaches of salpingectomy and salpingostomy with conservative methods in the treatment of ectopic pregnancy. Methodology: The Cochrane, Scielo and Pubmed databases were used, searching for articles published between 2015 and 2023, in Portuguese or English. Final Considerations: Salpingectomy, although effective and definitive, reduces future fertility. Salpingostomy, which preserves the tube, offers a better chance for fertility but comes with risks of additional complications. Conservative methods, such as the use of methotrexate, are less invasive and maintain tubal function, but require close monitoring. The choice of treatment must be individualized, taking into account the patient's health status and her desire to preserve fertility, to achieve the best possible clinical and reproductive results.