Ophorectomy and Salpingectomy
Oophorectomy is the surgical removal of one (unilateral) or both (bilateral) ovaries. Salpingectomy is the surgical removal of one or both fallopian tubes. When done
together, the procedures may be referred to as a salpingo-oophorectomy.
together, the procedures may be referred to as a salpingo-oophorectomy.
Oophorectomy is performed to treat ovarian cysts, ovarian cancer, or an estrogen-dependent tumor. Bilateral oophorectomy may be done during a hysterectomy if disease has spread to the ovaries.
Salpingectomy may be performed to treat infection of the fallopian tubes (salpingitis), severe pelvic inflammatory disease, endometriosis, or ectopic pregnancy. In some cases, the procedure is performed to achieve permanent contraception.
Procedure
With the patient under general anesthesia, the surgeon makes a transverse or vertical incision through the abdominal wall. After locating the internal reproductive organs, he excises one or both ovaries, one or both fallopian tubes, or both the ovaries and fallopian tubes. When doing this procedure in conjunction with a hysterectomy, the surgeon also removes the uterus. The abdominal incision is then closed with sutures or staples, and a sterile dressing is applied. The procedure may also be performed using laparoscopic techniques.
