This video is a lecture of Dr. R K Mishra on laparoscopic management of ectopic pregnancy. Most ectopic pregnancies occur in the fallopian tube, but they can also happen in the neck of the womb, in the ovary, or in the abdominal cavity. Laparoscopic Salpingostomy or Salpingectomy is the method of choice for the management of ectopic pregnancy. In a normal pregnancy, fertilization occurs in the fallopian tubes, where an egg, or ovum, meets a sperm cell. The fertilized egg then travels into the uterus and becomes implanted in the womb lining. The embryo develops into a fetus and remains in the uterus until birth. An ectopic pregnancy can be fatal without prompt treatment. For example, the fallopian tube can burst, causing internal abdominal bleeding, shock, and serious blood loss. According to the Centers for Disease Control and Prevention, between 1 and 2 percent of all pregnancies are ectopic. However, an ectopic pregnancy is the cause of 3 to 4 percent of pregnancy-related deaths. Ectopic surgery The fallopian tubes can be repaired or removed with surgery. Keyhole surgery can be performed to remove the ectopic tissue. This is also known as a laparoscopy. In a laparoscopy, the surgeon makes a small incision in or near the navel and inserts a device called a laparoscope to view the area. Other surgical instruments are inserted into a tube, or through other small incisions, to remove the ectopic tissue. If the area is damaged, surgeons might be able to repair the fallopian tubes, but they will probably have to remove the affected tube as part of this procedure. If the other fallopian tube is still intact, a healthy pregnancy is still possible. If severe internal bleeding has occurred, a larger incision may be needed. This procedure would be called a laparotomy.