Salpingectomy, also known as tubal sterilization or tubal ligation, is a type of reproductive surgery used to permanently prevent pregnancy. It’s considered a permanent form of birth control, as having a salpingectomy means you’ll never be able to become pregnant without other medical interventions. Salpingectomy is a popular choice for individuals seeking permanent contraception.
In a salpingectomy, one or both of the fallopian tubes are surgically removed. Fallopian tubes are the structures in a woman’s reproductive system which allow eggs to travel from the ovaries to the uterus. By removing the tubes, the sperm and egg can’t meet to create a pregnancy.
In this article, we’ll provide an overview of salpingectomy, its advantages, and what to expect before, during, and after the surgery.
What is Salpingectomy?
Salpingectomy is a type of reproductive surgery that involves the surgical removal of one or both fallopian tubes. This procedure is used to permanently prevent pregnancy.
Salpingectomy is a popular choice for individuals seeking permanent contraception. It’s considered a highly effective form of birth control, as having a salpingectomy means you’ll never be able to become pregnant without other medical interventions.
The fallopian tubes are structures in a woman’s reproductive system that allow the egg to travel from ovaries to the uterus. Removal of the tubes prevents the sperm and egg from meeting, thus preventing conception.
Types of Salpingectomy
There are three main types of salpingectomy:
• Bilateral Salpingectomy
Bilateral salpingectomy is the removal of both fallopian tubes. Bilateral salpingectomy is often recommended for women who are going through a hysterectomy for the treatment of cervical or ovarian cancer.
• Unilateral Salpingectomy
Unilateral salpingectomy is the removal of one side of the fallopian tube. This procedure is sometimes recommended if an individual has fertility issues due to blocked fallopian tubes.
• Prophylactic Salpingectomy
Prophylactic salpingectomy is the removal of both fallopian tubes as a preventative measure against ovarian or fallopian tube cancer.
Benefits of Salpingectomy
Salpingectomy is a safe and effective form of contraception with a number of benefits. Some of the benefits of salpingectomy include:
• Highly effective – Salpingectomy is more effective than other forms of contraception, as it prevents pregnancy in 99.5% of cases.
• Permanent – Once the tubes are removed, the individual will be unable to conceive without medical intervention.
• Immediate – Unlike methods such as vasectomy, there is no waiting period for the effects of a salpingectomy to take effect.
• Minimal side effects – Salpingectomy is a minimally invasive surgical procedure with minimal side effects.
• Safe – Salpingectomy is generally a safe procedure with a low complication rate.
• Improves fertility – Removing a blockage in the fallopian tubes may improve a woman’s overall fertility, allowing her to conceive naturally.
Expected Results From a Salpingectomy
The expected results from a salpingectomy are permanent contraception. As the egg is unable to travel through the fallopian tubes to the uterus, conception is impossible.
The effects of a salpingectomy are immediate, so there is no need to wait for contraception to take effect. Many people choose to have a salpingectomy as a permanent solution to contraception.
Although a salpingectomy is a permanent procedure, it is possible to reverse it if pregnancy is desired at a later date.
What to Expect Before, During, and After a Salpingectomy
Before the Surgery
Prior to undergoing a salpingectomy, the individual will meet with their doctor to discuss the procedure. During this appointment, the doctor will assess the individual’s medical history and explain the potential risks and benefits of the procedure. The doctor will also explain any potential complications that may occur.
Before the surgery, the individual may be asked to take a pregnancy test to make sure they are not pregnant. The individual may also be asked to abstain from sexual activity before the procedure.
During the Surgery
During the surgery, the individual will be placed under general anesthesia. This will ensure that the individual is asleep and unable to feel any pain or discomfort during the procedure.
The doctor will make a small incision near the navel and then insert a laparoscope. The laparoscope is a thin tube with a light and a camera on one end that allows the doctor to view the inside of the body. The doctor then inserts surgical instruments through the laparoscope to remove the fallopian tubes.
The procedure usually takes between 30 minutes and two hours, depending on how many tubes are being removed.
After the Surgery
After the surgery, the individual will be transferred to a recovery room where they will be monitored for an hour. Once the anesthesia has worn off and the individual has recovered from the procedure, they can be discharged.
It’s important to get plenty of rest during the recovery period. The individual should avoid strenuous activities and resume their normal activities as soon as they feel up to it.
The doctor will likely provide the individual with instructions and advice for the recovery period. The doctor will also schedule follow-up appointments to monitor the individual’s recovery.
Risks and Complications of Salpingectomy
Although salpingectomy is a safe and effective form of contraception, there are potential risks and complications that may occur. Some of the complications may include:
• Injury to organs, vessels, or nerves
• Adhesion formation
• Damage to the reproductive organs
Salpingectomy is a safe and effective form of contraception that is growing in popularity among individuals seeking permanent contraception. Salpingectomy prevents conception by surgically removing the fallopian tubes, thus preventing the egg and sperm from meeting.
The procedure is relatively safe with minimal side effects and a low complication rate. The effects of the salpingectomy are immediate and should provide long-term contraception.
If you’re considering a salpingectomy, it’s important to understand all the risks and potential complications of the procedure. Be sure to discuss your options with your doctor to determine if this is the right procedure for you.
التعريف والنظرة العامة
Salpingectomy is the process of surgically removing one or both of the fallopian tubes while leaving the uterus and ovaries intact. The procedure was developed primarily to address ectopic pregnancy but is also indicated for other diseases or conditions of the female reproductive system.
The fallopian tube, also called the uterine tube, is where the sperm cells travel to fertilize the egg. It also provides an optimal environment for fertilization and transports the egg from the ovary to the uterus. In a normal female reproductive system, there are two fallopian tubes which ends are located near the ovaries to catch and transport the eggs. During ectopic حمل, the fertilized egg is not transported into the uterus and stays inside the fallopian tube.
In most cases, a unilateral salpingectomy is performed where only one of the two fallopian tubes is removed. This leaves the patient with the capability to still conceive and reproduce. On the other hand, removing both fallopian tubes is referred to as bilateral salpingectomy and is only considered in extreme cases.
من يجب أن يخضع للنتائج المتوقعة
The most common indication for salpingectomy is an ectopic pregnancy, where there is a very low possibility for the fertilized egg to survive. Physicians usually advise to terminate the pregnancy as soon as this condition is diagnosed, as it can be life-threatening to the patient.
This procedure is also considered for those who are diagnosed with salpingitis or infection of the fallopian tube. The affected part is usually inflamed and develops scar tissue, which may block the egg as it is transported to the uterus and this contributes to the occurrence of ectopic pregnancy. Inflammation is often caused by sexually transmitted diseases or infection following childbirth or abortion. There are also cases in which the fallopian tubes become distally blocked and are filled with fluid. This condition is termed hydrosalpinx and can be treated with salpingectomy.
In some cases, the insertion of intrauterine devices can cause damage to the fallopian tube. The patient may need to undergo salpingectomy to treat this condition and prevent further injury.
Salpingectomy is also considered as a patient undergoes hysterectomy or the removal of the uterus due to disease. Patients who are predisposed to ovarian cancer may be advised to try salpingectomy as means of prevention.
Women who want to achieve effective contraception may be offered bilateral salpingectomy. However, this requires careful consideration, as the result of the procedure is permanent and irreversible.
The success of the procedure largely depends on its purpose. For addressing ectopic pregnancy or treating salpingitis, the outcomes are generally successful with no complications and patients are able to conceive afterwards. Patients often recover quickly, especially after undergoing a rehabilitation program to reduce postoperative pain and encourage healing. Rest period for several days to weeks is required, depending on the severity of their condition.
For those diagnosed with diseases that affect other parts of the female reproductive system such as the uterus and ovaries, salpingectomy may be just one of the steps needed to achieve treatment. Patients may need to undergo additional procedures to effectively manage their conditions.
كيف يتم إجراء العملية؟
There are several techniques to perform salpingectomy, but the most common and preferred method is laparoscopy. The surgeon makes a small incision in the abdomen area, usually near the navel. A laparoscope, an instrument resembling a small telescope, is inserted and the surgeon identifies the tube to be removed. Another probe is inserted through a second incision near the pubic area to assist in viewing the surgical site. The affected fallopian tube is clamped and cauterized. The tube is then transected or cut from the rest of the nearby reproductive parts. The underlying mesosalpinx is then sutured and abdomen incision closed.
Some surgeons prefer to do away with a viewing instrument and would make an incision in the lower abdomen to remove the tube instead. This process is termed minilaparotomy.
A more invasive approach is termed laparotomy and requires the surgeon to make a large incision in the lower abdomen to allow a better exploration of the abdomen area. This approach is especially considered if there is a need to remove both fallopian tubes.
In rare cases, salpingectomy is performed through a surgical incision in the vagina, termed colpotomy. In this method, the affected fallopian tube is approached through the vagina.
المخاطر والمضاعفات المحتملة
Salpingectomy carries the associated risk of adverse reaction to anesthesia, similar to other surgical procedures. Excessive bleeding is another risk, which is possible during and after the procedure.
There is also the possibility of damaging surrounding parts like the uterus, ovaries, blood vessels, and nerves. In rare cases, the bowels may also be injured or damaged, resulting in the need for additional surgical interventions. Another possible complication is intestinal blockage, leading to stomach cramps, bloating, and repeated burping.
Pain in the surgical site is also expected, though it is usually manageable and disappears after a few weeks. Scar formation is expected, both internally and externally.
Johnson N, van Voorst S, Sowter MC, Strandell A, Mol BW. Surgical treatment for tubal disease in women due to undergo in vitro fertilisation. Cochrane Database Syst Rev. 2010. (1):CD002125.
Audebert A, Pouly JL, Bonifacie B, et al. Laparoscopic surgery for distal tubal occlusions: lessons learned from a histor