Medical and Surgical Management of Unruptured Ectopic Pregnancy

Methotrexate (IM) Single Dose Therapy * Identified as the best management for an unruptured pregnancy. * Administration route: Intramuscular (IM).
Expectant Management (Observation) * Defined as the choice to "do nothing" or maintain clinical observation. * This is categorized as "one more option" in the context of unruptured ectopic pregnancy management. * Requirements/Conditions for Expectant Management: * All conditions for "Mix" (likely shorthand for Methotrexate) must be "fullfiled." * The hCG value must be < 1000. * Preference and Risk: * Expectant management is "Not preffered." * There is an associated "Risk of Rupture of E.P" (Ectopic Pregnancy) if clinical values are monitored without active intervention.

Procedural Choice (Laparoscopy) * Surgery is the definitive option for managing unruptured ectopic pregnancy. * The abdomen is opened via "Laparoscopy." * This approach is specifically indicated when the patient is clinically "stable."
Determination of Surgical Method * The specific type of surgery performed depends on the status of the patient's family goals.
Salpingectomy * Indication: Conducted if the "family of pat." is "Complete." * Action: Accomplished by the instruction to "remove tube."
Tube-Preserving Surgery (Salpingostomy) * Indication: Conducted if the family is "not Complete." * Action/Process: * The surgeon will "open the tube" at a point "above the E.P." * The procedure involves the directive to "remove Spiral."