This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Which of the following treatment is not done in ectopic pregnancy: \nSelect and explain. \nA. Salpingectomy, B. Salpingo Oophorectomy, C. Salpingostomy, D. Resection of involved segment', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Surgical management of Ectopic pregnancy (laparoscopy or laparotomy)\nConservative surgery\nSalpingostomy:\n\nIt is the procedure of choice when the patient is hemodynamcially stable and wishes to retain her future fertility\n\nSalpingotomy:\n\nSeldom done nowadays\n\nSegmental resection and anastomosis:\n\nIt is done in case of isthmic praegnancy.\n\nFimbrial expression of the ectopic pregnancy:\n\nRisk of recurrence of ectopic pregnancy are high therefore not commonly performed.\n\nRadical surgery\nSalpingectomy Indications Ruptured ectopic\n\nThe patient has completed her family,\nThe tubes are grossly damaged\nEctopic pregnancy has recurred in a tube already treated conservatively.\nUncontrolled bleeding\nSac size > 5 cm.\n\nSalpingo-oophorectomy i.e. removal of tubes along with the ovaries is not recommended in young patients—\n“Presently salpingo-oophorectomy is never recommended unless the ovary itself is grossly diseased or damaged”.\nJeffcoate 7/e, p 154\n“The ipsilateral ovary and its vascular supply is preserved. Oophorectomy is done only if the ovary is damaged beyond salvage or is pathological”.\nDutta Obs. 6/e, p 188', 'role': 'assistant'}]