Salpingectomy via laparoscopy: a new surgical approach

Farr Nezhat, F Nezhat, W. Winer, Wendy K. Winer, C Nezhat, Camran Nezhat, Ceana Nezhat
Journal of laparoendoscopic surgery · 1991 · vol. 1(2) , pp. 91–95 · doi:10.1089/lps.1991.1.91 · PMID:1834264 · W2324981595
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This study describes a laparoscopic total salpingectomy procedure in 100 cases for various tubal conditions, finding it safe, simple, and suitable for outpatient surgery with a mean procedure time of 22 minutes and a mean hospitalization of 7.4 hours.

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Abstract

This study presents 100 consecutive cases of total salpingectomy performed via laparoscopy for indications of ruptured or recurrent ectopic pregnancy, hydrosalpinges, torsion of the fallopian tube, hematosalpinges, or extensive adhesions. A multiple abdominal puncture approach was used, and salpingectomy was accomplished by electrosurgical coagulation and laser transection of the isthmus, mesosalpinx, and tubo-ovarian ligaments using the CO2 laser. The fallopian tubes were removed from the pelvic cavity through one of the suprapubic punctures. The mean duration of the procedure was 22 minutes, and the mean duration of hospitalization after surgery 7.4 hours. No major intraoperative or postoperative complications were encountered. Laparoscopic salpingectomy appears to be a safe and relatively simple procedure associated with the advantages of outpatient surgery.

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MeSH descriptors

Fallopian Tube Diseases Fallopian Tubes Laparoscopy Laparoscopy Adult Carbon Dioxide Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tubes Fallopian Tubes Female Humans Ligaments Ligaments Light Coagulation Light Coagulation Light Coagulation Middle Aged Ovary Ovary

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