salpingectomy


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Salpingectomy

 

Definition

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.

Purpose

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.

Description

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 After the operation is completed, the tubes and instruments are withdrawn.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.)

Preparation

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

Aftercare

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.

Risks

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.

Resources

Organizations

National Women's Health Resource Center. 120 Albany St., Suite 820, New Brunswick, NJ 08901. (877) 986-9472. http://www.healthywomen.org.

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.

salpingectomy

 [sal″pin-jek´tah-me]
excision of a fallopian tube; called also tubectomy.

sal·pin·gec·to·my

(sal'pin-jek'tŏ-mē),
Removal of the uterine tube.
Synonym(s): tubectomy
[salping- + G. ektomē, excision]

salpingectomy

(săl′pĭn-jĕk′tə-mē)
n. pl. salpingecto·mies
Surgical removal of the fallopian tube. Also called tubectomy.

sal·pin·gec·to·my

(sal'pin-jek'tŏ-mē)
Removal of the uterine tube.
Synonym(s): tubectomy.
[salping- + G. ektomē, excision]

salpingectomy

Surgical removal of one or both of the FALLOPIAN TUBES.
References in periodicals archive ?
Bilateral salpingectomy does not appear to decrease ovarian function.
The second limitation is that coding in the national dataset reflects nonspecific data regarding whether "removal of adnexal structures" was undertaken, and we were not specifically able to determine whether either isolated salpingectomy or salpingo-oophorectomy was performed at the hysterectomy.
We observed not infrequent complications associated with this entity, among them 2 cases of severe endometriosis, 2 cases of abscess, 1 case of hysterectomy, and 4 cases requiring salpingectomy. In these cases the complications were not associated with age, the duration of symptoms, or type of surgical approach.
Salpingectomy may be performed if there is no further desire for fertility, but the proper approach should be detorsion of tuba for preserving fertility (14).
(2.) Worchester S, "Routine Bilateral Salpingectomy with Hysterectomy Gains Acceptance," Ob.Gyn.
Of the 60 patients, 7 patients were performed salpingostomy (3 L/S, 4 L/T) while 53 patients were performed salpingectomy.
Here we present a case of pneumoperitoneum following vaginal cuff dehiscence 60 days after robotic-assisted hysterectomy-bilateral salpingectomy, with the most recent episode of sexual intercourse being 8 days prior.
Removing the affected fallopian tube (salpingectomy) is justified, because the direct intention is to save the mother's life--the fetal death being an unintended but unpreventable effect.
In case 14, a salpingectomy was performed, an egg was removed, and intussusception was reduced.
In humans, endoloop ligature was carried out in shorter surgical time and caused less postoperative pain then the electrocoagulation for salpingectomy (LIM et al., 2007).
Left salpingectomy and right salpingostomy were performed.
A case of retroperitoneal ectopic pregnancy following IVF-ET in a patient with previous bilateral salpingectomy. Am J Perinatol.