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Salpingectomy refers to the surgical removal of a fallopian tube. This may be done to treat an ectopic pregnancy or cancer , to prevent cancer, or as a form of contraception . This procedure is now sometimes preferred over its ovarian tube-sparing counterparts due to the risk of ectopic pregnancies .
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 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.
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 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.
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