Laparoscopic salpingostomy is a surgical procedure in which an ectopic pregnancy or blockage is removed from one or both fallopian tubes.
Unlike a salpingectomy in which one or both fallopian tubes are completely removed, salpingostomy preserves the fallopian tubes.
What conditions are treated with laparoscopic salpingostomy?
Laparoscopic salpingostomy may be used to remove an ectopic pregnancy.
The fallopian tubes are responsible for carrying an egg from the ovaries to the uterus, and they are also where the egg and sperm meet and fertilize. In normal pregnancies, the fertilized egg is moved from the fallopian tubes to the uterus where it gets implanted into the lining of the uterus.
In some cases, however, the fertilized egg gets implanted outside the uterus. This is called ectopic pregnancy or tubal pregnancy. If it is too late for medications, surgery may be the only option. Laparoscopic salpingostomy is done when an ectopic pregnancy is unruptured and measures more than 4 cm in an ultrasound imaging.
Laparoscopic salpingostomy can also be performed in the following cases:
- Restoring fertility after the fallopian tubes are damaged due to adhesions or blockages
- Treatment of hydrosalpinx, which is a condition in which the fallopian tubes become filled with fluid and blocked
- Treatment of fallopian tube cancer (more common in women with BRCA gene mutation).
- As a method of permanent birth control
How is a laparoscopic salpingostomy performed?
Before the procedure
Before the surgery, your doctor will give you pre-and post-procedure instructions. This may include:
- Whether or not you have to fast before the procedure, and for how long
- Whether or not you have to stop taking your current medications before or after the surgery
- Planning transportation to and from the hospital
- Bringing loose, comfortable clothing to wear home
During the surgery
- First, you will be administered general anesthesia.
- A small incision, approximately 4 inches long, will be made on your lower abdomen. The cut will be made at such a place that the fallopian tubes are visible and can be operated on through the incision.
- In laparoscopic salpingostomy, a laparoscope is utilized. The abdomen will first be inflated with gas, which will help the surgeon get a clear view of organs on the screen, and the laparoscope is inserted into the incision.
- After the surgery, the incision will be closed with staples or stitches and a sterile bandage will be applied.
After the surgery
Post-surgery, you will be monitored in the recovery room for symptoms, such as irritation, nausea, and pain. You will not be discharged until you can stand up and empty your bladder.
What is the recovery period for laparoscopic salpingostomy?
The benefit of laparoscopic salpingostomy is that it is less invasive and has a faster rate of recovery. Although the incision from laparoscopic surgery heals faster than that of open abdominal surgery, however, it may take up to 2-3 weeks for full recovery.
Make sure to follow your doctor's instructions. Get plenty of rest and avoid strenuous activities and physically demanding work for at least 7 days. Contact your doctor right away if you notice any of the following:
- Inability to empty your bladder
- Worsening pain
- Fever and chills
- Redness and swelling around the incision
- Foul-smelling discharge
- Heavy vaginal bleeding
Health Solutions From Our Sponsors
Dayal MB. Salpingostomy and Salpingectomy. Medscape. https://emedicine.medscape.com/article/1848581-overview
Orange County Surgeons. Laparoscopic Salpingostomy. https://orangecountysurgeons.org/surgical-procedure/laparoscopic-salpingostomy-933
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Can Fallopian Tubes Grow Back After Removal?Fallopian tube removal is effective in preventing pregnancy, but it's not entirely reliable. An estimated 1 in every 200 women will get pregnant after tubal ligation.
Ectopic Pregnancy (Tubal Pregnancy)
An ectopic pregnancy is a pregnancy located outside the inner lining of the uterus. The majority of ectopic pregnancies occur in the Fallopian tube. Signs and symptoms of an ectopic pregnancy may include abdominal pain, lack of menstrual period (amenorrhea), vaginal bleeding, fainting, dizziness, and low blood pressure.
Treatment options for an ectopic pregnancy include observation, medication, or surgery.
How Long Is the Surgery for Ectopic Pregnancy?Ectopic pregnancy surgery can be either laparoscopic (via camera and smaller cuts) or via laparotomy (surgery by opening the belly). If the physician prefers laparoscopic surgery, it will take about 30 minutes to 1 hour. However, if the physician chooses laparotomy, it might take longer to complete. The patient should return to the ward within 1 to 2 hours.
How Much Does Fallopian Tube Surgery Cost?As per research, the cost of fallopian tube surgeries may start from a minimum of $3000 and may go up to $13,000 approximately. The cost of the surgeries depends on the type of surgery, complications, location of the hospitals, clinics, doctors, and insurance.
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What Is the Surgical Management of Ectopic Pregnancy?The surgical management of ectopic pregnancy entails operating and removing the pregnancy while you are sedated.
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What Is the Management of Ectopic Pregnancy?Ectopic pregnancy is the medical condition in which the implantation of an embryo occurs outside of the uterine cavity (the womb), most commonly in the fallopian tube. Ectopic pregnancy is usually managed through medications, surgery or observation. The type of management depends on the severity of the condition.