The procedure can be performed using either laparoscopy or laparotomy. In a laparoscopic salpingostomy, small incisions are made in the abdomen, and a laparoscope (a thin, lighted tube) is used to visualize the fallopian tube. A surgical instrument is then used to create an opening in the tube to remove the ectopic tissue. Laparotomy involves a larger incision and is usually reserved for more complicated cases.