Laparoscopic salpingo-oophorectomy is a surgical procedure to remove the fallopian tube (salpingectomy) and ovary (oophorectomy). A unilateral salpingo-oophorectomy may be recommended for patients whose ovaries cannot be preserved because of ruptured ectopic pregnancies, abscesses, benign masses or other reasons. This surgery may also be recommended to treat ovarian or other gynecological cancers that affect only one fallopian tube and ovary.
A laparoscopic salpingo-oophorectomy is different from a bilateral salpingo-oophorectomy, which is the surgical removal of both ovaries and both fallopian tubes. A bilateral salpingo-oophorectomy is generally performed at the time of a hysterectomy for women diagnosed with cancer or identified as having an increased cancer risk.
Laparoscopic surgery, considered minimally invasive, uses a smaller abdominal incision than open surgery. During this procedure, our surgeons make a small incision in the abdominal wall, just below the belly button. A laparoscope (a tube containing a tiny lens, camera and light source) is then inserted through the incision, helping to guide the surgeon to the target area with the aid of images projected on a video monitor. The surgeon then detaches the ovary and fallopian tube and removes them though a small incision at the top of the vagina.
Patients undergoing laparoscopic surgery may have a shorter recovery time than with traditional open surgery. Side effects from salpingo-oophorectomy vary depending on a variety of factors, including the woman's age, reproductive history and other medical issues.