Laparoscopic salpingectomy for ectopic pregnancy
What is salpingectomy?
Salpingectomy is the surgical removal of one (unilateral) or both (bilateral) fallopian tubes. It can also be categorized as partial or total salpingectomy depending on the length of tube removed.
Salpingectomy is usually done for family planning or in combination with removal of ovaries (oophorectomy) and uterus (hysterectomy). It can also be done in case of tubal ectopic pregnancy.
What pre-op instructions are given before the procedure?
Your doctor will discuss the complete procedure with you and guide about the risks and benefits of laparoscopic salpingectomy. They will inform you about the pre- and post-op instructions. An informed consent is taken before the surgery. You will be asked to:
- Keep fasting for at least 6-8 hours before the surgery.
- Take your morning dose of thyroid or anti-hypertensive.
- Bring someone to accompany you to the hospital.
- Plan your transportation back home.
- Bring some loose-fitting and comfortable clothes.
What happens during Laparoscopic Salpingectomy surgery?
Laparoscopic surgery is a less invasive procedure as compared to open abdominal surgery. It is performed under general anesthesia.
A small incision is made in your lower abdomen. Carbon dioxide gas is then infiltrated into your abdomen through that hole. A laparoscope is then inserted through the incision into your abdomen.
This allows the surgeon to get a clear view from inside your belly on to a computer screen. A few more incisions are then made for inserting other small instruments. The damaged fallopian tubes are then taken out and any bleeding, if present, is then controlled. After the procedure is done, instruments are taken out and gas is released. The skin incisions are then closed.
What happens after laparoscopic salpingectomy surgery?
After surgery, you are shifted to the recovery room for monitoring. You might have some nausea as well as soreness and mild pain around the incisions for which I/V fluids, painkillers and antibiotics will be given. You will be kept fasting for about six hours after the surgery. You are discharged once you are out of anesthesia completely and can carry your activities on your own. You should avoid heavy lifting or strenuous exercise for at least a week. You can expect a full recovery within two to four weeks after laparoscopy.
What are the potential complications?
Complications are rare with laparoscopic surgery than open surgery. Rarely these complications may be seen after laparoscopic surgery:infection
- internal bleeding
- bleeding at the surgical site
- injury to blood vessels or nearby organs