Salpingectomy

Salpingectomy, also called tubectomy, is the removal of one of the fallopian tubes with surgery. The fallopian tubes are the tubes that are connected to the uterus. These tubes transport the egg from the ovary to the womb (uterus). Removing one tube does not prevent you from becoming pregnant. Salpingectomy does not have any adverse affects on your menstrual periods. There are many reasons to have a salpingectomy, such as if:

  • You have a tubal (ectopic) pregnancy. This is especially true if the tube ruptures.

  • You have an infected tube.

  • It is necessary to remove the tube when removing an ovary with a cyst or tumor.

  • The uterus needs to be removed.

  • You need surgery for cancer of the tube or other female organs.

LET YOUR CAREGIVER KNOW ABOUT:

  • Allergies to foods or medications.

  • All the medications you are taking. This includes over-the-counter and prescription drugs, herbs, eye drops, creams and steroids.

  • If you are using illegal drugs or drinking alcohol.

  • Your smoking habits.

  • Previous problems with anesthesia including numbing medication.

  • The possibility of being pregnant.

  • History of blood clotting or other blood problems.

  • Previous surgery.

  • Other medical or health problems.

RISKS AND COMPLICATIONS

  • Injury to surrounding organs.

  • Bleeding.

  • Infection.

  • The surgery does not correct the problem.

  • You have problems with the anesthesia.

BEFORE THE PROCEDURE

  • Do not take aspirin or blood thinners. They can cause bleeding.

  • Do not eat or drink anything at least 8 hours before the surgery.

  • Let your caregiver know if you develop a cold or an infection.

  • If you are being admitted the day of surgery, arrive at least one hour before the surgery to read and sign the necessary forms and consents.

  • Arrange for help when you go home from the hospital.

  • If you smoke, do not smoke for at least 2 weeks before the surgery.

PROCEDURE

You will be given an IV (intravenous) and a medication to relax you. Then, you will be put to sleep with a drug (anesthetic). Any hair on your lower belly (abdomen) will be removed and a catheter will be placed in your bladder. Through 2 very small cuts (incisions) if you have a laparoscopy, or a large incision in the lower abdomen, the fallopian tube will be removed from where it attaches to the uterus. The blood vessels will be clamped and tied.

AFTER THE PROCEDURE

  • You will be taken to the recovery room and observed for 1 to 3 hours.

  • If you had a laparoscopy, you may be discharged after several hours.

  • If you had a large incision, you will be admitted to the hospital for a couple of days.

  • If you had a laparoscopy, you may have shoulder pain. This is not unusual and is from some air that is left in the abdomen. This air affects the nerve that goes from the diaphragm to the shoulder. It goes away in a day or two.

  • You will be given pain medication if needed.

  • The intravenous and catheter will be removed before you are discharged.

  • Have someone available to take you home.