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salpingectomy

 
Medical Encyclopedia: 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.

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 After the operation is completed, the tubes and instruments are withdrawn.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

— Carol A. Turkington



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Dictionary: sal·pin·gec·to·my   (săl'pĭn-jĕk'tə-mē) pronunciation
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n., pl., -mies.
Surgical removal of the fallopian tube. Also called tubectomy.


Veterinary Dictionary: salpingectomy
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Excision of a uterine tube.

Wikipedia: Salpingectomy
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Intervention:
Salpingectomy
Schematic frontal view of female anatomy
ICD-10 code:
ICD-9 code: 66.4 - 66.6
Other codes:

Salpingectomy refers to the surgical removal of a Fallopian tube.

Contents

Indications

The procedure was first performed by Lawson Tait in patients with a bleeding ectopic pregnancy; this procedure has since saved the lives of countless women. Other indications for a salpingectomy include infected tubes, (as in a hydrosalpinx) or as part of the surgical procedure for tubal cancer.

A bilateral salpingectomy will lead to sterility, and was used for that purpose, however less invasive procedures have become available as tubal occlusion procedures.

Process

Salpingectomy has traditionally been done via a laparotomy; more recently however, laparoscopic salpingectomies have become more common as part of minimally invasive surgery.

Related procedures

Salpingo-oophorectomy

Salpingectomy is commonly done as part of a procedure called a salpingo-oophorectomy, where one or both ovaries, as well as one or both Fallopian tubes, are removed in one operation (a Bilateral Salpingo-Oophorectomy (BSO) if both ovaries and Fallopian tubes are removed). If a BSO is combined with a hysterectomy, the procedure is commonly called a TAH-BSO: Total Abdominal Hysterectomy with a Bilateral Salpingo-Oophorectomy.

Salpingostomy

Salpingectomy is different from a salpingostomy, a procedure where an opening is made into the tube to remove the ectopic embryo, but the tube itself is not removed.[1]

History

Salpingectomies were performed in the United States in the 20th century in accordance with eugenics legislation. From Buck v. Bell:

The Virginia statute providing for the sexual sterilization of inmates of institutions supported by the State who shall be found to be afflicted with an hereditary form of insanity or imbecility, is within the power of the State under the Fourteenth Amendment.[2]

References

  1. ^ Pal L, Parkash V, Rutherford TJ (2003). "Omental trophoblastic implants and hemoperitoneum after laparoscopic salpingostomy for ectopic pregnancy. A case report". The Journal of reproductive medicine 48 (1): 57–9. PMID 12611098. 
  2. ^ Buck v. Bell



 
 

 

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Medical Encyclopedia. © 2006 through a partnership of Answers Corporation. All rights reserved.  Read more
Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Salpingectomy" Read more