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===Salpingostomy / Salpingotomy=== |
===Salpingostomy / Salpingotomy=== |
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Salpingectomy is different from a '''salpingostomy''' and '''salpingotomy'''. The latter two terms are often used |
Salpingectomy is different from a '''salpingostomy''' and '''salpingotomy'''. The latter two terms are often used interchangeably and refer to creating an opening into the tube (i.e. to remove an [[ectopic pregnancy]]), but the tube itself is not removed.<ref name="pmid12611098">{{cite journal |author=Pal L, Parkash V, Rutherford TJ |title=Omental trophoblastic implants and hemoperitoneum after laparoscopic salpingostomy for ectopic pregnancy. A case report |journal=The Journal of reproductive medicine |volume=48 |issue=1 |pages=57–9 |year=2003 |pmid=12611098 |doi=}}</ref> Technically, the creation of a new tubal opening (os) by surgery would be a ''salpingostomy'', while the incision into the tube to remove an ectopic is a ''salpingotomy''. |
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==History== |
==History== |
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Revision as of 14:55, 20 June 2010
| Salpingectomy | |
|---|---|
 Schematic frontal view of female anatomy | |
| ICD-9-CM | 66.4 |
Salpingectomy refers to the surgical removal of a Fallopian tube.
Indications
The procedure was first performed by Lawson Tait in patients with a bleeding ectopic pregnancy; this procedure has since saved the lives of countless women. Other indications for a salpingectomy include infected tubes, (as in a hydrosalpinx) or as part of the surgical procedure for tubal cancer.
A bilateral salpingectomy will lead to sterility, and was used for that purpose, however less invasive procedures have become available as tubal occlusion procedures.
Process
Salpingectomy has traditionally been done via a laparotomy; more recently however, laparoscopic salpingectomies have become more common as part of minimally invasive surgery. The tube is severed at the point where it enters the uterus and along its mesenteric edge with hemostatic control.
Related procedures
Salpingo-oophorectomy
Salpingectomy is commonly done as part of a procedure called a salpingo-oophorectomy, where one or both ovaries, as well as one or both Fallopian tubes, are removed in one operation (a Bilateral Salpingo-Oophorectomy (BSO) if both ovaries and Fallopian tubes are removed). If a BSO is combined with a hysterectomy, the procedure is commonly called a TAH-BSO: Total Abdominal Hysterectomy with a Bilateral Salpingo-Oophorectomy.
Salpingostomy / Salpingotomy
Salpingectomy is different from a salpingostomy and salpingotomy. The latter two terms are often used interchangeably and refer to creating an opening into the tube (i.e. to remove an ectopic pregnancy), but the tube itself is not removed.[1] Technically, the creation of a new tubal opening (os) by surgery would be a salpingostomy, while the incision into the tube to remove an ectopic is a salpingotomy.
History
Salpingectomies were performed in the United States in the 20th century in accordance with eugenics legislation. From Buck v. Bell:
The Virginia statute providing for the sexual sterilization of inmates of institutions supported by the State who shall be found to be afflicted with an hereditary form of insanity or imbecility, is within the power of the State under the Fourteenth Amendment.[2]
References
- ^ Pal L, Parkash V, Rutherford TJ (2003). "Omental trophoblastic implants and hemoperitoneum after laparoscopic salpingostomy for ectopic pregnancy. A case report". The Journal of reproductive medicine. 48 (1): 57–9. PMID 12611098.
{{cite journal}}: CS1 maint: multiple names: authors list (link) - ^ Buck v. Bell