FALLOPIAN TUBE REMOVAL SURGERY (SALPINGECTOMY)
It is a procedure to surgically remove one or both fallopian tubes. Fallopian tubes allow the egg to travel from the ovaries to the uterus. Alternative procedures are partial salpingectomy where only part of the fallopian tube is removed, salpingostomy, where an opening is made to remove the contents of the fallopian tubes, the tube itself is not removed. Salpingectomy can be combined with other procedures like oophorectomy (removal of ovaries), hysterectomy (removal of uterus) etc.
WHY IS SALPINGECTOMY DONE?
Salpingectomy can be done to treat a variety of problems. It may be done in any of the following cases:
Damage to fallopian tubes increases the risk of ectopic pregnancy or infertility. Its removal is necessary when an inflammatory disease can’t be treated and leads to damage of fallopian tubes. The fallopian tubes can be damaged if a pelvic inflammatory disease goes untreated, infections caused by chlamydia often lead to changes in the fallopian tubes, similarly endometriosis can irritate tissue and cause adhesions around the fallopian tubes.
HOW IS THE SALPINGECTOMY PROCEDURE DONE?
Removal of the fallopian tubes can be performed through an open abdominal surgery under general anaesthesia or through a pelvis laparoscopy under general or local anaesthesia.
In open surgery, an incision is made on the lower abdomen and fallopian tubes are removed. The opening is later closed with staples or stitches.
Laparoscopic surgery is less invasive in which a tiny incision is made in the lower abdomen, the laparoscope (long tool with a light and camera) is inserted through this incision. A few additional incisions are made to insert other tools to remove the fallopian tubes. These incisions less than half an inch are later closed after the procedure.
The operation itself takes approx.1-2 hours.
AFTER THE PROCEDURE
Patient is taken to the recovery room for monitoring for a few hours. The patient may feel nausea and soreness around the incisions. In case it is done as an outpatient procedure, discharge is given the same day otherwise 1-2 days of hospital stay may be needed. After discharge it is important to follow Doctor’s instructions and avoid lifting weights or strenuous exercise for a few days.
WHAT ARE THE COMPLICATIONS OF THE PROCEDURE
Like any surgery there can be risks and complications to this procedure. These could be: