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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.
Salpingectomy can be used to treat a variety of problems. Doctors might recommend this surgery if a patient has:
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.
A salpingectomy can be performed in one of two methods by a surgeon. In a surgery known as a laparotomy, they make an open incision in the abdomen. Or surgeons may employ laparoscopy, a minimally invasive procedure that involves introducing equipment through small incisions in the lower belly. Salpingectomy may be performed with other procedures by surgeons. They may do so, for example, during cesarean sections in women who have chosen salpingectomy as a means of contraception. The operation can vary and may include the removal of additional organs. These techniques include partial salpingectomy, bilateral salpingectomy, and others.
The surgeon will go over the operation with you (the patient) and provide preoperative and postoperative instructions. These may differ, depending on whether you undergo open or laparoscopic abdominal surgery. For surgery, your age and overall health play a role.
Here are a few points patients should remember before surgery:
Follow your doctor’s advice on when you may resume normal activities. It may only take a few days, but it could take much longer. For at least a week, avoid lifting heavy objects and intense exercise.
Notify your doctor if you experience any of the following symptoms after being discharged from the hospital:
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.
All surgeries carry risks, including an adverse reaction to anesthesia. Because laparoscopy takes longer than open surgery, you may be sedated for a longer period. Other dangers associated with salpingectomy include:
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.
Overall, the prognosis is favorable. Periods will continue as long as you have your ovaries and uterus. Removing one fallopian tube will not render you infertile. You will still require contraception. If both fallopian tubes are removed, you will be unable to conceive and not require contraception. However, if you still retain your uterus, you may be able to carry a baby with the help of in vitro fertilization (IVF Technology). Before choosing to undergo a salpingectomy, talk to your doctor or a fertility specialist about your fertility needs.
Women who have their ovaries and fallopian tubes removed before menopause experience immediate surgical menopause, which causes short-term adverse effects such as night sweats, hot flashes, and mood swings. They may also be vulnerable to long-term negative effects such as an increased risk of heart and bone disease.
It usually lasts 12-18 hours. It also depends on how your body responds during rehabilitation post-surgery.
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