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Surgery

If the ectopic pregnancy is large or outside the fallopian tube, or if there are signs of severe bleeding inside the abdomen, surgery is required. Often the surgeon can use laparoscopic surgery (small incisions in your abdomen to remove the ectopic tissue), but sometimes a larger incision is required. In the case of a tubal pregnancy, if the tube has not ruptured, sometimes it is possible to extract the tissue from the tube. Often, however, tubal damage is so great that the fallopian tube must be removed.