Laparoscopic Salpingectomy

Removal one or both of the fallopian tubes

Fallopian tubes are tiny pipes which connect the ovaries to the side of the uterus.

In this anatomical structure, the spermatozoon reaches the ovum (fertilization) and the embryo begins to grow.

If the function of fallopian tubes is the proper one, the embryo travels to the uterus, the implantation of the embryo takes place there and the pregnancy begins to progress!

 

Which are the indications of salpingectomy?

 

Tubal ectopic pregnancy

The fertilization of the ovum (egg) occurs in the lumen of a fallopian tube.

If the embryo does not move down to the uterus, it is likely that it will keep grow in the tube (tubal ectopic pregnancy).

There is no chance that this pregnancy can be survived.

The most common symptoms are pelvic pain and vaginal bleeding.

Usually, the embryo is expelled into the abdomen without any complication. However, in some cases it can cause life threatening bleeding.

 

Pyosalpinx

In this case, there is an infection within a fallopian tube.

The tube becomes inflated and creates an abdominal abscess; the walls of which are actually the tube.

 

Hydrosalpinx

If a fallopian tube is blocked, watery fluid may be accumulated in the tube.

It can affect one or both of fallopian tubes. As a result, the spermatozoon cannot reach the ovum and the fertilization is impossible.

Even if the fertilization occurred in the other tube (the healthy one) or the embryo was placed in the uterus through IVF techniques, severe problems could arise.

The watery fluid accumulated in the tube is toxic for the baby who cannot progress and grow.

 

How is salpingectomy performed?

The treatment of choice is the laparoscopy procedure.

 

Why is laparoscopic salpingectomy recommended?

  • Short hospitalization time (usually you discharge from the hospital a day after the procedure)
  • Rapid recovery and return to normal activity
  • Significantly less post operative pain
  • The incisions are less than 1 centimeter, so the cosmetic result is better
  • It is a safe procedure with few post operative complications (including infections)
  • At the same time of the surgery, the doctor can closely examine the abdomen organs due to high definition images and the visual magnification
  • Improvement of fertility rates

 

How do I decide which option is better for me?

Consult Dr. Marinakis a specialist Gynecologist - Endoscopic surgeon.

Doctor should examine you in order to be assured that there is an indication for a Laparoscopic surgery.

If they have discouraged you from Laparoscopy, and you do not have enough information not only about the indications of the procedure, but also about your plan of treatment, you might have been in the wrong place!

Overall, laparoscopy is a really safe procedure; however every single medical procedure is safe only if it is managed by a specialist.

 

Gynecologist Dr. Marinakis specialises in gynecological hysteroscopy. He is certified in advanced laparoscopy and hysteroscopy by Royal College of Obstetricians and Gynecologists. He was also a member of Laparoscopic training unit “MATTU” in United Kingdom.

 

How much does a laparoscopy cost?

The cost of a laparoscopic procedure is low and it usually depends on your health insurance cover.

 

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