Laparoscopic management of ectopic pregnancy.

Management of ectopic pregnancy includes a high index of suspicion coupled with established algorithms of diagnosis using serum beta-human chorionic gonadotropin and transvaginal ultrasound. Early diagnosis and intervention usually leads to conservation of the involved tube. Careful follow up for persistent ectopic pregnancy leads to appropriate medical or surgical management. The use of methotrexate, either systemically or by local injection, may provide an alternative to surgery in selected patients with ectopic pregnancy.