SALPINGECTOMY
SURGERY
IN TURKEY
The surgical removal of the fallopian tubes, which exit from both sides of the uterus and extend to the ovary, is called salpingectomy.
The task of the fallopian tubes in the body is to allow the egg to pass from the ovaries to the uterus, that is, to the uterus, and to be fertilized in this way. The specialist physician may apply to the salpingectomy method depending on many different reasons.
IN WHICH SITUATIONS IS SALPINGECTOMY APPLIED?
Many reasons can be effective in the application of the salpingectomy method. The situations in which salpingectomy intervention is performed are as follows;
Birth Control Method
Removal of the fallopian tubes prevents the eggs from reaching the uterus in the next period. Thus, the possibility of getting pregnant in patients who have had their fallopian tubes removed by salpingectomy is eliminated.
Ectopic pregnancy
In an ectopic pregnancy, also called an ectopic pregnancy, the fertilized egg cannot implant in the uterus. The situation where the fertilized egg is implanted in a different place is called an ectopic pregnancy. If this egg settles in one of the fallopian tubes, a salpingectomy operation is applied in order to prevent a bleeding that will risk the life of the patient by tearing the tube.
Measure Against Ovarian Cancer
In cases where patients are likely to have ovarian cancer, salpingectomy is used to minimize this risk. Scientific studies suggest the application of the salpingectomy method in cases where there is a high risk of cancer formation in patients, such as some gene mutations. These studies explain that by removing the fallopian tubes of female patients in the risk group, the chance of cancer is reduced by 40%.
Salpingectomy in Cancer Treatment
Salpingectomy is also considered necessary in the treatment of some types of cancer. According to the opinion of the specialist physician, depending on the condition of the patient and the disease, cancer is treated by removing the fallopian tubes and some gynecological organs.
Endometriosis Treatment
The surface of the uterus is covered with a layer called the endometrium. The development of the endometrial layer in a different place outside the uterus is defined as endometriosis. In the treatment of this disease, salpingectomy method is used in some cases.
Infection Treatment
Salpingectomy method can also be preferred during the treatment of serious infections in the uterus.
Apart from the diseases listed above, the salpingectomy method is used in the treatment of different gynecological disorders. The benefit and harm calculation of the method is made by the specialist physician and the patient, and it is decided whether the surgical intervention will be applied or not.
TYPES OF SALPINGECTOMY
Salpingectomy operation can be performed using multiple procedures. The most preferred is the laparoscopic salpingectomy procedure. On the other hand, the salpingectomy method can also be applied during different procedures. For example, in cases where the intervention is desired to be used as a birth control method, the specialist physician can also apply salpingectomy during cesarean section.
Salpingectomy approaches that include different procedures are as follows;
Bilateral Salpingectomy
In the bilateral salpingectomy method, both fallopian tubes are removed. This approach is used in birth control, reducing the risk of cancer and in the treatment of gynecological diseases.
Partial Salpingectomy
Removal of only one fallopian tube from the patient is called partial salpingectomy. Partial salpingectomy; It is preferred in cases of ectopic pregnancy, infection of the fallopian tube and diagnosis of cancer in only one tube.
Salpingoophorectomy
In the approach of salpingoogorectomy, one or both ovaries are removed besides the fallopian tube. It is used in the treatment of ovarian cancer, endometriosis or ovarian torsion caused by the rotation of one of the ovaries around the structures that connect it. In addition, in some cases, an operation can be performed with this approach in ectopic pregnancy.
TAH-BSO (Bilateral Salpingo - Oopherectomy)
It is a salpingectomy approach used to completely remove the uterus from the body and remove one of the ovaries (total abdominal hysterectomy). Moreover; This approach may also be preferred for removal of the fallopian tubes, ovaries, uterus, and cervix. This is the least preferred among the salpingectomy approaches, and the specialist physician prefers this procedure only during the periods when the patients are heavy. This approach is used in cases where more than one disease such as severe bleeding, endometriosis, uterine fibroids (fibroids) and cancer is present in the patient.
HOW IS SALPINGECTOMY PERFORMED?
The salpingectomy method is usually performed under general anesthesia. Before starting the method, the area where the intervention will be performed is anesthetized and visualized. Salpingectomy is generally preferred to be performed using minimally invasive, that is, laparoscopic intervention methods. This method is called closed surgery among the people. The application of the salpingectomy operation with the most preferred method is as follows;
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After the patient is anesthetized, the specialist makes small incisions in at least two different areas of the belly button and abdomen.
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Through these incisions, a camera and suction device are placed on a thin tube called a laparoscope.
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In order to provide a clearer visualization of the pelvic organs during the intervention, the abdomen is filled with carbon dioxide. Visualization of the organs and both fallopian tubes is achieved in this way.
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Instruments are used to remove one or both fallopian tubes and minimize bleeding.
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Then the carbon dioxide released into the abdomen is released. In this way, the patient's bleeding is controlled and excess blood and fluid is eliminated.
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Finally, after the instruments are removed, the patient is closed by suturing or gluing the incision areas.
The duration of the salpingectomy procedure may vary depending on the condition of the patient and the disease. In addition, the procedure used during the operation also prolongs or shortens the duration of the procedure.
RISKS AND COMPLICATIONS
As with all surgical interventions, there are risks of complications during and after the salpingectomy operation. These complications vary according to the preferred approach for the condition of the disease, but in general, the complications that occur after salpingectomy are as follows;
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Infection
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Bleeding
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Complications related to anesthesia
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Injury of organs close to the treated area
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Early menopause
Premature menopause after salpingectomy occurs when two fallopian tubes are removed, when blood flow to one or both ovaries is blocked. The reason for this is explained as the situation in which the hormones that the ovaries produce are not sufficiently transmitted.
FREQUENTLY ASKED QUESTIONS
How long does it take to fully recover from salpingectomy?
Most people will recover within a few days from a laparoscopic salpingectomy. However, it might take up to 14 days to resume your day-to-day lifestyle. You can return to work when you are able, although you might need modifications for a short time.
What to expect after having a fallopian tube removed?
You may have pain in your belly for a few days after surgery. If you had a laparoscopy, you may also have a swollen belly or a change in your bowels for a few days. After a laparoscopy, you may also have some shoulder or back pain. This pain is caused by the gas your doctor used to help see your organs better.
What should I do before salpingectomy?
In some cases, you may be required to get a urine test, blood test, CT-scan, or ultrasound before your actual salpingectomy procedure. Pre-surgery preparation may vary depending on a lot of factors, such as your age, the particular reason for surgery, and the overall condition of your health.
How long did you bleed after salpingectomy?
Vaginal bleeding up to one month after surgery is normal. Many women do not have their next normal menstrual cycle for four to six weeks after surgery. When your normal cycle returns, you may notice heavier bleeding and more discomfort than usual for the first two to three cycles.
Does salpingectomy cause weight gain?
Salpingectomy does not affect ovarian function or hormones. So, it should not cause weight gain. If you have concerning weight gain, contact your doctor for an evaluation.
Can salpingectomy cause early menopause?
As it is not fully clear how hormone levels can be affected after a salpingectomy, there is a chance of going into premature menopause. But it is lower than that after ovary removal.
Is fallopian tube removal painful?
You may have pain in your belly for a few days after surgery. If you had a laparoscopy, you may also have a swollen belly or a change in your bowels for a few days. After a laparoscopy, you may also have some shoulder or back pain. This pain is caused by the gas your doctor used to help see your organs better.
What anesthesia is used for salpingectomy?
Laparoscopic bilateral salpingectomy is an outpatient surgery requiring general anesthesia.