4.8.21

A ruptured ectopic right tubal pregnancy wit hemoperitoneum in a 35 years old female was operated urgently due to severe pain in the RLQ; the US showing ectopic tubal pregnancy. A salpingectomy of the involved tube removing the products of conception in the tube was done along with peritoneal lavage. The lady repeatedly was talking under spinal anesthesia for tubectomy on the other side too. I asked the attending gynecologist dr Neena Sachdeva and she said the husband did not want it. So we did not do it. The next day during another surgery (LSCS), Dr Neena reported that the lady had married her present husband without telling him that she had had an earlier marriage and that she had 2 more children from that and so she did not want any more children and wanted a tubectomy on the other side too. She said it was right that we did didnt do the other tubectomy otherwise legal issues might arise later!