Recent techniques for the conservative management of tubal pregnancy. Surgery, laparoscopy and medicine.

Differentiation between radical and conservative surgery for the management of tubal pregnancies depended, in the past, upon whether an effort was made to preserve all or part of the affected fallopian tube. Recent techniques for conservative management include laparoscopic salpingotomy with either an electrical current or the carbon dioxide laser and the use of methotrexate. The latter method does not require surgery. In the near future any laparotomy approach for tubal pregnancy may well be considered nonconservative.