LAPAROSCOPIC SALPINGECTOMY FOR ECTOPIC PREGNANCY Dr. Victor Blut presents a laparoscopic left salpingectomy after attempted salpingostomy for a left tubal ectopic pregnancy in a 32-year-old gravida 3 para 2. She presented with the classic triad of pelvic pain, uterine bleeding, and an adnexal mass. The patient lacked risk factors for an ectopic pregnancy such as a history of PID, operative trauma, or tumors. Because she wished to retain her fertility, a salpingostomy was initially attempted to save the tube, but hemorrhage and retained trophoblastic tissue dictated a partial salpingectomy, removal of part of the tube. The ectopic pregnacy is visualized in the ampullary region of the left fallopian tube. Salpingostomy on the antimesenteric border is perfomed to allow withdraw of the products of conception and preservation of the tube. After the tube is opened, a grasper is used to remove the products of conception. Unfortunately, bleeding occurs after removal of the products of conception, but electrocoagulation is used to achieve hemostasis. Electrocoagulation has achieved hemostasis, but the tube must be partially removed due to the retained trophoblastic tissue. The tissue remains because of possible location within the muscularis or serosa. Successive electocoagulation of the mesosalpinx and subsequent sharp dissection allows partial salpingectomy. The distal tube has been removed through the port. Once hemostasis is assured, the hemoperitoneum is evacuated. A single follow-up ß-HCG should be drawn 2-3 weeks post op.