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Salpingectomy is the removal of one or both of a woman's fallopian tubes, the tubes through which an egg travels from the ovary to the uterus.


A salpingectomy may be performed for several different reasons. Removal of one tube (unilateral salpingectomy) is usually performed if the tube has become infected (a condition known as salpingitis).
Salpingectomy is also used to treat an ectopic pregnancy, a condition in which a fertilized egg has implanted in the tube instead of inside the uterus. In most cases, the tube is removed only after drug treatments designed to save the structure have failed. (Women with one remaining fallopian tube are still able to get pregnant and carry a pregnancy to term.) The other alternative to salpingectomy is surgery to remove the fetus from the fallopian tube, followed by surgery to repair the tube.
A bilateral salpingectomy (removal of both the tubes) is usually done if the ovaries and uterus are also going to be removed. If the fallopian tubes and the ovaries are both removed at the same time, this is called a salpingo-oophorectomy. A salpingo-oophorectomy is necessary when treating ovarian and endometrial cancer because the fallopian tubes and ovaries are the most common sites to which cancer may spread.


Regional or general anesthesia may be used. Often a laparoscope (a hollow tube with a light on one end) is used in this type of operation, which means that the incision can be much smaller and the recovery time much shorter.
In this procedure, the surgeon makes a small incision just beneath the navel. The surgeon inserts a short hollow tube into the abdomen and, if necessary, pumps in carbon dioxide gas in order to move intestines out of the way and better view the organs. After a wider double tube is inserted on one side for the laparoscope, another small incision is made on the other side through which other instruments can be inserted. After the operation is completed, the tubes and instruments are withdrawn. The tiny incisions are sutured and there is very little scarring.
In the case of a pelvic infection, the surgeon makes a horizontal (bikini) incision 4-6 in (10-15 cm) long in the abdomen right above the pubic hairline. This allows the doctor to remove the scar tissue. (Alternatively, a surgeon may use a vertical incision from the pubic bone toward the navel, although this is less common.)


The patient is given an injection an hour before surgery to encourage drowsiness.


Aftercare varies depending on whether the tube was removed by laparoscopy or through an abdominal incision. Even when major surgery is performed, most women are out of bed and walking around within three days. Within a month or two, a woman can slowly return to normal activities such as driving, exercising, and working.


All surgery, especially under general anesthesia, carries certain risks, such as the risk of scarring, hemorrhaging, infection, and reactions to the anesthesia. Pelvic surgery can also cause internal scarring which can lead to discomfort years afterward.



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Key terms

Ectopic pregnancy — The development of a fetus at a site other than the inside of the uterus; most commonly, the egg implants itself in the fallopian tube.
Laparoscope — A surgical instrument with a light attached that is inserted through the abdominal wall to allow the surgeon to see the organs in the abdomen.


excision of a fallopian tube; called also tubectomy.


Removal of the uterine tube.
Synonym(s): tubectomy
[salping- + G. ektomē, excision]


/sal·pin·gec·to·my/ (sal″pin-jek´tah-me) tubectomy; excision of a uterine tube.


n. pl. salpingecto·mies
Surgical removal of the fallopian tube. Also called tubectomy.


Etymology: Gk, salpinx, tube, ektomē, excision
surgical removal of one or both fallopian tubes. It is performed for removal of a cyst or tumor, for excision of an abscess, or, if both tubes are removed, as a sterilization procedure or for tubal pregnancy. Often the operation is done with a hysterectomy or an oophorectomy. Either spinal block or general anesthesia may be given. Postoperatively the patient is instructed to avoid sharply flexing the thighs or the knees. Persistent low back pain or the presence of bloody or scanty urine indicates that a ureter may have been injured during surgery.


Removal of the uterine tube.
Synonym(s): tubectomy.
[salping- + G. ektomē, excision]


Surgical removal of one or both of the FALLOPIAN TUBES.


excision of a uterine tube.
References in periodicals archive ?
Prophylactic salpingectomy and delayed oophorectomy as an alternative for BRCA mutation carriers.
In human patients, obtained shorter surgical time was found using pre-tied ligatures in comparison to the use of monopolar electrocoagulation for salpingectomy (LIM et al.
Treatment of bilateral tubal pregnancy is controversial and it ranges from bilateral salpingectomy to the conservative approach such as salpingostomy and salpingotomy.
The gross specimen submitted for histology at the Histopathology Department, ATBUTH, was a tan brown 8x5x3cm dilated distorted Salpingectomy specimen with a smooth to irregular surface and effaced fimbrial end (Figure 1).
The plan was a diagnostic laparoscopy with possible oopherectomy or salpingectomy to identify and remove the presumed ectopic pregnancy.
She underwent right salpingectomy and left tubal occlusion at the visible isthmic region via clip placement.
Right partial salpingectomy and drainage ofhemoperitoneum was carried out; post-surgical evolution was satisfactory.
A clinical trial is needed to assess the risk-benefit profile of salpingectomy for ovarian cancer prevention, said Dr.
males by vasectomy and in females by salpingectomy, without serious pain
After the hCG-doubling test confirmation, methotrexate is used to destroy and abort the ectopic pregnancy or a salpingectomy is performed.
In the final section of his book, Rhonheimer applies his reasoning to four common procedures used to resolve ectopic pregnancies: salpingectomy (or the removal of an entire fallopian tube containing a misplaced embryo), linear salpingo(s)tomy (or slitting the tube at the site of the misplaced embryo and scraping off or plucking off the embryo's body), drag treatment using methotrexate (which lethally attacks the outer cell mass of the embryo's body causing it to detach from the tubal wall), and expectant management (or waiting to see if the woman's body will naturally expel the embryo resolving the condition).
49, Haller also says that by the 1890s, both salpingectomy (cutting and tying of the fallopian tubes) and vasectomy (cutting and tying of the vas deferens) were available.