Laparoscopic salphingectomy

What is salpingectomy?

Salpingectomy is the surgical procedure  in this if one side of the (unilateral) or both side of the (bilateral) fallopian tubes are removed.  Fallopian tubes helps to move  eggs  from the ovaries in to the uterus and also helps in fertilization to gets pregnancy. 

partial salpingectomy is only part  of a fallopian tube will  removed.

salpingostomy or  neosalpingostomy is when  surgeon makes an opening in the fallopian tube to remove its contents. tube is not removed.

Salpingectomy mostly  done  with other oophorectomy, hysterectomy , and cesarean  section.

#Causes of Salpingectomy:

-an ectopic pregnancy (in this feotus stuck in fallopian tube than its life -threaning conditions and emergency conditions to perform surgery.

-a blocked fallopian tube (tube block by any abnormal growth tissue within the tube )

-Pelvic inflammatory disease. 

-Infertility 

-Smoking 

-Endometriosis 

-a ruptured fallopian tube (if ectopic pregnancy diagnose in later and feotal growth increase than fallopian tube will ruptured and pelvic area filled with lots blood clots due to bleeding )

-an infection(due to infected fluids and mass)

-fallopian tube cancer

-Fallopian tube cancer is rare 

-common in women who carry BRCA gene mutations.Ovarian cancer sometimes starts in the fallopian tubes. Prophylactic salpingectomy may reduce Trusted Source the risk of developing ovarian cancer.

-Salphingectomy can also be used as a method of permanent birth control.

#Symptoms and sign:

-Abdominal pain, pelvic pain.

-Vaginal bleeding.

-If fallopian tube ruptured due to which abdominal distension occur, generalised tenderness, peritonitis.

-Hypovolmic shock low blood pressure increase heart rate and feeling cold.

How do you prepare for the procedure?

Medical history taken and physical fitness done by physician after the routine check up and blood test and electrocardiogram. Anesthesist comes and meet to patient and explain about anesthesia. 

Stop eating and drinking at the time your doctor tells you before surgery

Role of anesthesia in Laparoscopic salphingectomy

Start intravenously fluid or antibiotic for prevent infection and  fluids allowed to run until administration of the prescribed dose is completed.(as per doctors advised )

General anesthesia give than endotracheal intubation will given and hypnotic agent like propofol given. 

Than anesthesist continue watching monitor and watch vital signs including pulse, spo2(saturation ), E.C.G,  body temperature and blood until the  patient  will not shifted from operation theatre to recovery. 

Procedure of laparoscopic salphingectomy :

Laparoscopic surgery is a less invasive procedure. A tiny incision will be made in your lower abdomen. A laparoscope is introduced into the abdomen.  Your abdomen will be inflated with Co2 gas. This gas allows to and give space to surgeon to get a clear view and work spacr in abdomen image display on screen.

Once the tubes are out, the small incisions will be closed and sutured with suture or glu or stpaler and dressings by small dressings pad like tegaderm and g -dress.

What’s the recovery like?

After surgery, patient keep in  recovery room for monitoring and check vitals sign by nurse.one time patient  fully awake from the anesthesia and comfortable than patient shifted in ward. Some time patient have some nausea as well as soreness and mild pain around the incisions.

Give painkiller to relief from pain. 

Follow your doctor’ order and advise for resuming normal activities. It for only  a few days, but it’s possible it could be longer. Avoid heavy lifting or exercise for at least a week.

After discharge from the hospital :

develop a fever and chills

have pain or nausea

notice discharge, redness, or swelling around the incisions

have unexpected heavy vaginal bleeding

can’t empty your bladder than contact your doctor 

Incisions from laparoscopic surgery are smaller and  heal more quickly.

There are risks to any type of surgery, including a bad reaction to anesthesia. Laparoscopy can take more time than open surgery, so you may be under anesthesia longer. Other risks of salpingectomy include:

infection (the risk of infection is lower with laparoscopy than with open surgery)

internal bleeding or bleeding at the surgical site

hernia

damage to blood vessels or nearby organs

What’s the outlook?

If ovaries and uterus will not remove than  continue to have periods. If remove than period means menstural cycle will not continue 

Removal of one fallopian tube won’t make you infertile. With one fallopian tube patient can conceive pregnancy. You’ll still need contraception.

Removal of both fallopian tubes means you can’t conceive a child and won’t need contraception. However, if you still have your uterus, it may be possible to carry a baby with the help of in vitro fertilization (IVF).

Before having salpingectomy, discuss your fertility plans with your doctor or a fertility specialist.