Unlike bilateral tubal ligation, which has a greater protective risk of endometrioid and clear-cell carcinoma of the ovary, bilateral
salpingectomy appears to further reduce risk of serous carcinoma of the ovaries as well.
the vaginal approach and [the added] complexity of a
salpingectomy may make this approach seem less appealing" [17].
Additionally, women with prior unilateral
salpingectomy had no successful pregnancy even with successful recanalization.
After extensive discussion the decision was made to proceed with definitive surgical management and the patient underwent robotic assisted total laparoscopic hysterectomy and bilateral
salpingectomy with ovarian preservation and bilateral pelvic lymph node dissection with sentinel node biopsy.
Holman et al., "Bilateral
salpingectomy with delayed oophorectomy for ovarian cancer risk reduction: A pilot study in women with BRCA1/2 mutations," Gynecologic Oncology, vol.
Three patients underwent
salpingectomy due to large tubal dilation associated with hematosalpinxs.
Four of the five patients were managed with
salpingectomy, and detorsion was performed in only one patient who desired future fertility.
(2) For this reason, the American College of Obstetricians and Gynecologists (ACOG) now recommends that the ovaries be preserved and both fallopian tubes removed, during hysterectomy (this is called a bilateral
salpingectomy).
Medical therapy involves methotrexate and surgical choices include salpingostomy or
salpingectomy either laparoscopically or laparotomically.5
As malignancy was a major concern, a total abdominal hysterectomy, right oophorectomy, bilateral
salpingectomy, left pelvic lymph node dissection, omentectomy, and evacuation of the retroperitoneal hematoma were performed.
Her surgical history was significant for an uncomplicated single site robotic-assisted hysterectomy with bilateral
salpingectomy and cystoscopy performed 60 days prior, using the da Vinci[R] surgical robot system.
A right
salpingectomy was performed with excellent hemostasis.
There are also studies which show no association between timing of sterilisation and failure, [14] and the US Collaborative Review of Sterilisation, the longest cumulative outcome study on various sterilisation methods, found that the postpartum partial
salpingectomy, the only method being performed post partum, had the lowest cumulative probability of sterilisation failure compared with other interval methods.
Furthermore, since most of BRCA-related carcinomas of ovary originate in the fallopian tube, consideration may be given to performing a risk-reducing
salpingectomy especially in young patients.
[9-12] Peritubal adherences in the pelvic cavity also occur after such interventions as oophorectomy,
salpingectomy, reconstructive surgeries on uterine tubes, an excision of endometriosis heterotopias.
