The surgical treatment for removing ectopic pregnancy depends on the particular type of ectopic pregnancy. Some of the common surgical methods include:

• Fallopian ectopic pregnancy: 

• Salpingectomy: A nick is made at the fallopian tube via laparoscopy, the fetus is removed and the incision is stitched back. 
• Salpingostomy: A nick is made at the fallopian tube via laparoscopy, the fetus is removed, while the incision is left open to heal naturally.  
• Salpingectomy: The whole fallopian tube is removed along with the fetus via laparoscopy. 

All cost an average of Rs. 60,000- Rs. 80,000 in India. 

• Ovarian ectopic pregnancy:

• The fetus is removed from the respective ovary through a laparoscopic procedure. On average, it costs anywhere between Rs. 60,000- Rs. 80,000 in India. 

• Abdominal ectopic pregnancy:

• The fetus is removed from the respective cavity in the abdomen through a laparoscopic procedure. On average, it costs anywhere between Rs. 60,000- Rs. 80,000 in India. 

• Cervical ectopic pregnancy: 

• The fetus or its remaining tissues are curetted from the cervix via D&C procedure (dilation and curettage). On average, the cost ranges between 20,000 to Rs. 25,000 in India.

• Abdominal surgery: Conventional open cut method for removing fallopian ectopic, ovarian ectopic, and abdominal ectopic pregnancies. 

Procedure: The gynecologist makes an open-cut incision at the site of ectopic pregnancy ( fallopian tubes/ ovary/ or abdominal muscle cavity), removes the ectopic fetus, and stitches back the incision site through minute sutures. 

• Laparoscopic Surgery: Advanced, minimally invasive method for removing fallopian ectopic, ovarian ectopic, and abdominal ectopic pregnancies. 

Procedure:  As the name suggests, the procedure is performed through an advanced medical tool called a laparoscope.  It is a tiny, specialized catheter with a camera and light on its end. It provides a magnified view of the otherwise smaller and narrower organs, thus ensuring better visibility and operating precision to your surgeon.

For the procedure, first, a small keyhole-sized port is made at the site. Then, the ectopic fetus is removed through specialized laparoscopic instruments by making 2-3 more tiny key-hole ports if needed.  After performing the respective surgery, the main port is closed through 1-2 dissolvable sutures while the rest heal by themselves.  

Dilation and Curettage: For removing cervical ectopic pregnancy

Procedure: First, the cervix is dilated through a medicine. Post dilation, the fetus, and its remaining tissues are curettage through a specialized medical device.

Following is a list of ways through which you can prepare well for ectopic pregnancy removal surgery:

• Confirm all your current medications, supplements, and herbal potions to your doctor. Certain medicines, such as ibuprofen, insulin, or blood thinners may be required to halt for a few days. This is because they can hamper the surgery and risk excessive bleeding during the procedure. 

• No surgery can be performed with imbalanced BP or sugar levels. This is why they must first be brought under control to proceed with the surgical treatment.

• Do not eat or drink anything at least 4-6 hours before the surgery. Else, it may cause anesthesia-related complications. 

• Carry a pair of loose cotton clothing to change into after your surgery. 

• Carry a pack of soft sanitary pads to use for post-surgical vaginal bleeding. 

• All the respective surgeries are performed under the influence of general anesthesia. 

• On average, the respective surgeries may take anywhere between 45-60 minutes. 

• As you wake up from the effects of anesthesia, you’ll feel considerable relief in the abdominal area. However, you might feel slight discomfort, pull, and itching at the surgical site. (can be eased through mild painkillers and antibiotics.) 
• In case your hemoglobin levels are lower than normal, a blood transfusion may be required. 
• In the case of laparoscopic or D&C surgery, you may be discharged the same or the next day, whereas, 2-3 days of hospitalization may be needed after open cut surgery.