Salpingectomy

Salpingectomy is a surgical procedure that involves the removal of one or both fallopian tubes. It is commonly performed in cases of severe pelvic inflammatory disease where the fallopian tubes are extensively damaged or there are abscesses that do not respond to conservative treatments.

Before the procedure, the patient will be placed under general anaesthesia to ensure comfort and minimise pain. The surgeon will make small incisions in the lower abdomen to access the pelvic region. In some cases, the procedure may be performed using a laparoscopic approach, which involves inserting a thin, lighted tube with a camera (laparoscope) and specialised instruments through small incisions. Once the pelvic region is visualised, the surgeon will carefully identify the fallopian tubes. The damaged or infected portions of the fallopian tubes will be dissected and removed. The remaining healthy portions of the tubes may be left in place if feasible, or in some cases, the entire fallopian tube(s) may need to be removed. After the salpingectomy procedure, the patient will be closely monitored in the recovery area. Pain medication may be prescribed to manage any discomfort experienced during the healing process. The length of hospital stay will vary depending on the specific case and the chosen surgical approach.

It's important to note that salpingectomy has implications for fertility. Removal of one fallopian tube (unilateral salpingectomy) may reduce the chances of natural conception, but pregnancy can still occur with the remaining fallopian tube. Removal of both fallopian tubes (bilateral salpingectomy) results in permanent infertility, as the fallopian tubes play a crucial role in transporting the egg from the ovary to the uterus for fertilisation. The decision to undergo salpingectomy for pelvic inflammatory disease is carefully considered and individualised for each patient. The potential risks, benefits, and alternatives will be thoroughly discussed, taking into account the patient's overall health, desire for future fertility, and severity of the disease. Whenever possible, preserving fertility and reproductive function is prioritised, and salpingectomy is typically reserved for cases where conservative treatments have been ineffective or the risks of complications outweigh the benefits.

At MASSH, our experienced team of healthcare professionals is dedicated to providing comprehensive care for women with pelvic inflammatory disease and related conditions. We prioritise open communication, informed decision-making, and ongoing support throughout the treatment process. If salpingectomy is deemed necessary, we ensure thorough preoperative counselling, post-operative care, and access to resources for family planning options and reproductive health. For more detailed information or to schedule a consultation, we encourage you to reach out to MASSH. We are committed to providing personalised and compassionate care to meet your unique needs and goals.