The surgical removal of a fallopian tube is known as Salpingectomy. This is not the same as Salpingostomy or Neosalpingostomy. The opening is used to build the fallopian tube in Salpingostomy, although the Fallopian tube is not removed. Because Salpingostomy does not consider and resolve the crucial role of the fimbriae, the term Fimbrioplasty is sometimes used instead of Salpingostomy. For suitable fertility outcomes, it is critical to recreate in such a way that the tiny Fimbriae are preserved. Surgery can remove one (unilateral) or both (bilateral) Fallopian tubes. These procedures include hysterectomy, Oophorectomy, and cesarean section. The Fallopian tubes transport eggs from the ovaries to the uterus. A partial Salpingectomy is performed when only a small portion of a Fallopian tube needs to be removed.
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What are the Objective Of Salpingectomy?
- ● A clogged fallopian tube
- ● An ectopic pregnancy
- ● A ruptured fallopian tube
- ● Fallopian tube cancer
- ● An infection inside the fallopian tube
Fallopian tube cancer is unusual. However, it is more likely in women with BRCA gene abnormalities. Fallopian tube lesions can arise in up to 50% of women with BRCA gene mutations and ovarian cancer. Ovarian cancer can begin in the fallopian tubes. Prophylactic Salpingectomy may lower the risk of ovarian cancer. This surgical treatment can also be used as a permanent birth control approach.
What are the Approaches To Salpingectomy?
What is the Guide To Patient?
What Should You Do Before Undergoing Surgery?
- ● Proper transportation to go back home: When you leave the hospital, you may be sleepy due to anesthesia, and your abdomen may be uncomfortable. Hence, arranging transportation home is important.
- ● Clothes: Bring loose-fitting, comfortable clothing to wear home.
- ● Medication: If you take medications, ask your doctor if you should take them on the day of surgery and post-surgery.
- ● Diet: Ask your doctor for how long you need to fast before surgery.
What Happens During The Surgery?
- ● General anesthesia will be administered shortly before open abdominal surgery. The surgeon will make a few inches long incision in your lower abdomen.
- ● From this incision, the fallopian tubes can be visualized and removed.
- ● The opening will be stitched shut next.
- ● Laparoscopic surgery is a less intrusive method of surgery. It can be done under general or local anesthetic.
- ● In your lower abdomen, a small incision will be made.
- ● A laparoscope is a long instrument with a light and camera at the end. It will be placed through the incision.
- ● Gas will be pumped into your abdomen. This allows your surgeon to see your pelvic organs clearly on a computer screen.
- ● Following that, a few more incisions will be made. They will be used to insert other tools that will be used to remove the fallopian tubes. These incisions will most likely be less than a half-inch in length.
- ● The little incisions will be closed once the tubes have been removed.
What is the Recovery Period in Salpingectomy?
What are the Risks Associated with Salpingectomy?
- ● Fever and chills
- ● Worsening pain or nausea
- ● Discharge, redness, or swelling around the incision/cut
- ● Unexpected heavy vaginal bleeding
- ● Inability to empty your bladder
Laparoscopic surgery incisions are smaller and heal faster than abdominal surgery incisions. Everyone heals at their own pace. However, you may expect to fully recover within three to six weeks following abdominal surgery or two to four weeks after laparoscopy.
What are the Possible Complications Associated with Salpingectomy?
- ● Infection (the risk of infection is lower with laparoscopy than with open surgery)
- ● Internal bleeding or bleeding at the site
- ● Hernia
- ● Damage to blood vessels or nearby organs
Although laparoscopic Salpingectomy takes slightly longer, it has been found to be a safe alternative to tubal occlusion. It is an additional option for women seeking sterilization since it is more effective and may offer some protection against ovarian cancer.