Vaginal Salpingo-Oophorectomy

Hysterectomy provides an excellent opportunity for prophylactic removal of the ovary and/or tube or deal with tubo-ovarian pathology concomitantly. It is very important, at times imperative, for women with a family history of ovarian cancer or elderly women with past history of ovarian pathology to be subject to prophylactic salpingo-oophorectomy. Oophorectomy or salpingo-oophorectomy concomitantly at vaginal hysterectomy (VH) does not require opening of the abdomen or help of the laparoscope in more than 95–97 % cases provided certain pre-requisites are met. If the operator makes up his/her mind to avoid the abdominal approach, it confirms that ‘where there is will there is a way’. The Round ligament plays very important role, intra-operatively, for successful surgery. Acquiring zeal and expertise to perform salpingo-oophoroectomy at VH can inspire gynecologists to move a step forward and deal with benign adnexal pathology concomitantly at VH or even without hysterectomy. The test of our progress lies in overcoming what obstacles our fellow men. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_122 Download citation DOI: https://doi.org/10.1007/978-3-319-22497-8_122 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-22496-1 Online ISBN: 978-3-319-22497-8 eBook Packages: MedicineMedicine (R0)