Emergency laparoscopic surgery saves a patient with a ruptured ectopic pregnancy.

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Ectopic pregnancy rupture is an emergency condition in obstetrics that poses a serious threat to a woman’s life if she does not reach the hospital in time and if diagnosis and management are delayed.

Recently, Hai Phong International Obstetrics and Pediatrics Hospital performed laparoscopic surgery to save a patient with a ruptured ectopic pregnancy.

Previously, patient P.T.H, 38 years old from An Lao, Hai Phong, arrived at Hai Phong International General Hospital in a state of lower abdominal pain, particularly in the uterus and both adnexa, lasting since the afternoon of the previous day. Upon initial examination, the doctors at Hai Phong International General Hospital recognized the patient’s critical condition and quickly invited BSCKI. Nguyen Van Huynh – Deputy Head of the Obstetrics Department to conduct a consultation right in the Emergency Area. After the consultation, BSCKI. Nguyen Van Huynh concluded that the patient had an ectopic pregnancy with signs of rupture and needed to undergo emergency laparoscopic surgery immediately to ensure the patient’s safety.

The patient was immediately resuscitated while preparations for the surgery were made. The surgical team included BSCKI. Nguyen Van Huynh – Deputy Head of the Obstetrics Department, BSCKII. Pham Thi Loan – Obstetrics Department, and the anesthesia team led by BSCKI. Nguyen Do Hung – Head of the Anesthesia and Resuscitation Department.

Upon entering the abdominal cavity, the surgical team discovered a significant amount of blood and clotted blood inside, estimated at about 1200ml. At the isthmus of the right fallopian tube, there was a 4x4cm ruptured gestational mass that was bleeding into the abdominal cavity. Additionally, a 3x3cm dermoid cyst was found on the patient’s right ovary. The surgical team quickly performed cauterization and excision of the gestational mass at the right fallopian tube while controlling the bleeding and dissecting the dermoid cyst, preserving the healthy part of the right ovary for the patient. Typically, in cases of severe and complex pathology with both a ruptured ectopic mass and an ovarian tumor, doctors would prioritize managing the gestational mass first rather than risking simultaneous management of both the mass and the tumor. However, with high expertise and extensive experience, along with skill and talent, the surgical team at Hai Phong International Obstetrics and Pediatrics Hospital successfully addressed both challenges simultaneously. Just 35 minutes later, the surgery was completed successfully and safely. Patient H received a total of 02 units of blood during the surgery, overcame the critical situation, and was transferred for monitoring in the Obstetrics Department at Hai Phong International Obstetrics and Pediatrics Hospital.

Post-surgery, the patient continued to receive 03 units of blood. After more than a week of close monitoring and care in the department, the patient recovered quickly. Currently, the patient’s health is stable, and she has been discharged.

According to obstetrics specialists, a ruptured ectopic pregnancy is an emergency condition in obstetrics that poses a serious threat to a woman’s life if she does not reach the hospital in time and if diagnosis and management are delayed. Ectopic pregnancy can have easily recognizable symptoms such as: missed period, lower abdominal pain, prolonged vaginal bleeding, especially if the pain increases, significant fatigue, sweating, fainting… Patient H’s case is a testament to the seamless collaboration between two hospitals: Hai Phong International Obstetrics and Pediatrics Hospital and Hai Phong International General Hospital. With a team of highly skilled doctors and nurses, modern facilities and equipment, the hospitals in the system form a closely linked network in diagnosis and treatment, ensuring patients receive the best medical services while maximizing cost and time savings. In particular, the hospital systemThe hospital has a Professional Consultation Council that gathers top experts in various medical fields, helping patients receive accurate and prompt diagnoses. In the case of patient H, the experts recommend that women should have regular gynecological check-ups, and when noticing any signs of abnormal health, they should immediately visit reputable hospitals or medical facilities for timely diagnosis and treatment, to avoid prolonging the incubation period which could lead to severe complications affecting health.

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