Laparoscopic Salpingectomy

A laparoscopic salpingectomy is a surgical procedure to remove one or both fallopian tubes. It is often performed to treat conditions like ectopic pregnancy, infections, or blockages, or as a preventive measure for women at high risk of ovarian cancer. This minimally invasive procedure is preferred over traditional open surgery due to its faster recovery time, reduced pain, and lower risk of complications. Dr. Kanchi Khurana, a skilled laparoscopic surgeon, offers expert care for patients requiring this procedure, ensuring precision and patient-centered treatment.

Laparoscopic salpingectomy is a minimally invasive procedure performed under general anesthesia. It involves the use of a laparoscope (a thin, lighted tube with a camera) and specialized instruments inserted through small incisions in the abdomen. The surgeon carefully removes the affected fallopian tube(s) while minimizing damage to surrounding tissues.

• Expertise in Laparoscopic Surgery: Dr. Khurana specializes in minimally invasive techniques, making her a trusted choice for procedures like salpingectomy.
• Patient-Centered Care: She is known for her compassionate approach, taking the time to understand her patients’ concerns and providing personalized treatment plans.
• Advanced Technology: Dr. Khurana uses state-of-the-art equipment and the latest surgical techniques to ensure safe and effective treatment.
• Strong Track Record: Her successful outcomes and positive patient testimonials reflect her dedication to excellence in patient care.
• Comprehensive Approach: Dr. Khurana offers end-to-end care, from diagnosis to postoperative follow-up, ensuring the best possible outcomes for her patients.

This procedure is recommended for:

• Ectopic Pregnancy: When a fertilized egg implants outside the uterus, often in the fallopian tube, necessitating its removal.
• Hydrosalpinx: A blocked, fluid-filled fallopian tube that can cause infertility or pain.
• Infection or Abscess: Severe pelvic inflammatory disease (PID) or tubo-ovarian abscess that damages the fallopian tubes.
• Cancer Prevention: For women at high risk of ovarian cancer, removal of the fallopian tubes can reduce the risk (prophylactic salpingectomy).
• Tubal Disease: Conditions like endometriosis or scarring that affect the fallopian tubes.

• Minimally Invasive: Smaller incisions result in less pain, reduced scarring, and quicker recovery compared to open surgery.
• Faster Recovery: Most patients can return to normal activities within 1-2 weeks.
• Reduced Risk of Complications: Lower risk of infection, bleeding, and adhesions compared to open surgery.
• Effective Treatment: Provides relief from symptoms and addresses underlying conditions like ectopic pregnancy or hydrosalpinx.
• Shorter Hospital Stay: Patients typically go home the same day or after a short hospital stay.

• Preparation:
  1. Patients may undergo imaging tests (e.g., ultrasound) to assess the condition of the fallopian tubes.
  2. Preoperative instructions may include fasting and stopping certain medications.
• Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free during the procedure.
• Incisions:

1. Dr. Khurana makes 3-4 small incisions (5-10 mm) in the abdomen.
2. Carbon dioxide gas is used to inflate the abdomen, creating space for the procedure.

• Fallopian Tube Removal:

1. The laparoscope is inserted through one incision, providing a magnified view of the pelvic organs on a monitor.
2. The affected fallopian tube is carefully separated from surrounding tissues and removed.
3. If both tubes are affected, a bilateral salpingectomy may be performed.

• Closing the Incisions: The incisions are closed with sutures or surgical tape.

• Hospital Stay: Most patients go home the same day or after an overnight stay.
• Pain Management: Mild pain or discomfort can be managed with prescribed medications.
• Activity Restrictions: Patients are advised to avoid heavy lifting and strenuous activities for 2-4 weeks.
• Follow-Up: Dr. Khurana schedules a postoperative visit to monitor healing and discuss further steps, such as fertility options if needed.

While laparoscopic salpingectomy is generally safe, potential risks include:

• Bleeding or infection.
• Injury to surrounding organs (e.g., bladder, bowel).
• Adverse reactions to anesthesia.
• Rare complications such as blood clots or gas embolism.

• Minimally Invasive: Smaller incisions mean less pain and scarring.
• Faster Recovery: Quicker return to daily activities and work.
• Effective Treatment: Addresses the underlying condition while preserving ovarian function (unless the ovaries are also removed).
• Cancer Prevention: Prophylactic salpingectomy can reduce the risk of ovarian cancer in high-risk patients.

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