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 After the operation is completed, the tubes and instruments are withdrawn.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

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

salpingectomy

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

salpingectomy

[sal′pinjek′təmē]
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.

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.

salpingectomy

excision of a uterine tube.
References in periodicals archive ?
Second, the GOC recommends that, given the lack of evidence, a national study of ovarian cancer prevention through salpingectomy be a priority of the society.
Comparison of Reactive Epithelial Atypia and Serous Carcinoma In Situ of the Fallopian Tube Serous Carcinoma Reactive Epithelial In Situ Changes Associated conditions BRCA mutation Sometimes inflammation Type of surgery Prophylactic salpingo- Salpingectomy was oophorectomy part of surgery for other reasons Nuclear atypia Severe Mild to moderate, can be focally severe Nuclear/cytoplasmic Increased Maintained ratio Cilia Absent Present Mitotic activity Present Absent
Salpingectomy: surgical removal of the fallopian tubes; bilateral salpingectomy and oophorectomy are removal of the fallopian tubes and ovaries.
Rates noticeably lower than average appear for oophorectomy and/or salpingectomy and tonsillectomy.
The OB/GYN module provides valuable training in both salpingostomy, which preserves the tube to maintain fertility, if possible, and salpingectomy, which removes the tube.
Salpingectomy may offer clinicians the chance to prevent ovarian cancer, according to a recent policy statement from the American College of Obstetricians and Gynecologists' Committee on Gynecologic Practice.
This involves a salpingectomy if the contralateral tube is healthy or a salpingotomy when this is not the case.
An example is billing separately for pre- and postoperative care, oophorectomy, salpingectomy, hysterectomy, and exploratory laparotomy, instead of the global code for total hysterectomy, which includes pre- and postoperative care; abdominal exploration; and removal of euterus, ovary, and tubes.
With these issues in mind, is it time to consider incorporating prophylactic bilateral salpingectomy in benign gynecologic surgery (Obstet.
Effect of salpingectomy on ovarian response to superovulation in an in vitro fertilization-embryo transfer program.
The EP patients were treated with laparoscopic surgery, and salpingectomy was performed in all of these cases.