Salpingostomy, Salpingotomy, Salpingectomy; surgical procedures involving the fallopian tubes

Описание: Salpingostomy, salpingotomy, and salpingectomy are surgical procedures used to treat ectopic pregnancies in the fallopian tube. They differ in technique and impact on fertility.

Here’s a clear comparison:

🩺 1. Salpingostomy
Definition: Incision made in the fallopian tube to remove ectopic pregnancy, leaving the tube intact.

Procedure: A linear cut is made over the ectopic site; pregnancy tissue is removed; the tube is left open to heal naturally.

Used when: Tube is unruptured and fertility preservation is desired.

Pros: Preserves tubal function.

Cons: Risk of persistent trophoblastic tissue; requires close hCG monitoring.

🩺 2. Salpingotomy
Definition: Similar to salpingostomy, but the incision may be closed with sutures.

Procedure: Linear incision over the ectopic site; pregnancy removed; tube may be sutured.

Used when: Tube is unruptured and surgeon prefers closure.

Pros: May reduce bleeding and promote healing.

Cons: Slightly more invasive; still risk of persistent tissue.

🩺 3. Salpingectomy
Definition: Complete removal of the affected fallopian tube.

Procedure: Tube is excised from the uterus and ovary.

Used when: Tube is ruptured, severely damaged, or recurrent ectopic pregnancy.

Pros: Eliminates risk of persistent ectopic tissue.

Cons: Reduces fertility if the other tube is compromised.

📊 Summary Table
Procedure Tube Preserved Risk of Persistent Tissue Fertility Impact
Salpingostomy Yes Moderate Preserves fertility
Salpingotomy Yes (sutured) Moderate Preserves fertility
Salpingectomy No Low May reduce fertility

#Salpingostomy #Salpingotomy #Salpingectomy