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Salpingectomy is different from and predates both salpingostomy and salpingotomy. The latter two terms are often used interchangeably and refer to creating an opening into the tube (e.g. to remove an ectopic pregnancy ), but the tube itself is not removed. [ 1 ]
The standard surgical approach for removal of the nonviable ectopic pregnancy is by salpingectomy or salpingostomy. [6] In the case of an unruptured ectopic pregnancy, local feticidal injection can be used to remove the ectopic pregnancy.
The first successful surgery for an ectopic pregnancy was performed by Robert Lawson Tait in 1883. [60] It is estimated that an acceptable rate of PULs that eventually undergo surgery is between 0.5 and 11%. [5] People that undergo salpingectomy and salpingostomy have a similar recurrent ectopic pregnancy rate of 5% and 8% respectively.
Two of these surgeries include Salpingectomy and Salpingostomy. The Salpingectomy procedure is the removal of a fallopian tube while in Salpingostomy an opening is created into the fallopian tube. A study found that patients that undergo these procedures have a similar recurrent ectopic pregnancy rate. 5% for Salpingectomy and 8% for salpingostomy.
The most common techniques for partial bilateral salpingectomy are the Pomeroy [20] or Parkland [21] procedures. The ten year pregnancy rate is estimated at 7.5 pregnancies per 1000 procedures performed, and the ectopic pregnancy rate is estimated at 1.5 per 1000 procedures performed. [5]
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Prophylactic salpingectomy is a preventative surgical technique performed on patients who are at higher risk of having ovarian cancer, such as individuals who may have pathogenic variants of the BRCA1 or BRCA2 gene. [1] Originally salpingectomy was used in cases of ectopic pregnancies. [2]
The surgical removal of a fallopian tube is called a salpingectomy. To remove both tubes is a bilateral salpingectomy. An operation that combines the removal of a fallopian tube with the removal of at least one ovary is a salpingo-oophorectomy. An operation to remove a fallopian tube obstruction is called a tuboplasty.