This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Ecotopic Pregnancy, 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: Ans. is b, i.e. Salpingo-oophorectomyRef. Dutta Obs. 7/e, p 186; Shaw 14/e, p 249Surgical management of Ectopic pregnancy (laparoscopy laparotomy)Conservative surgeryRadical surgerySalpingostomy:* It is the procedure of choice when the patient is hemodynamcially stable and wishes to retain her future fertilitySalpingotomy:* Seldom done nowadaysSegmental resection and anastomosis:* It is done in case of isthmic pregnancy.Fimbrial expression of the ectopic pregnancy:* Risk of recurrence of ectopic pregnancy are high therefore not commonly performed.Salpingectomy Indications Ruptured ectopic* The patient has completed her family,* The tubes are grossly damaged* Ectopic pregnancy has recurred in a tube already treated conservatively.* Uncontrolled bleeding* Sac size > 5 cm.Salpingo-oophorectomy i.e. removal of tubes along with the ovaries is not recommended in young patients--\'\'\'Presently salpingo Oophorectomy is never recommended unless the ovary itself is grossly diseased or damaged". --Jeffcoate 7/e, p 154"The ipsilateral ovary and its vascular supply is preserved. (Oophorectomy is done only if the ovary is damaged beyond salvage or is pathological". --Dutta Obs. 6/e, p 188', 'role': 'assistant'}]