Salpingo oopherectomy

Salpingo-Oophorectomy

Objective

In case of:

•       disease.

•       removal of a Fallopian tube and corresponding ovary.

Position

Supine.

Anesthesia

General.

Procedure

         1.      A low midline, paramedian, or Pfannenstiel incision is employed.

         2.      Peritoneal cavity is entered.

         3.      A self-retaining retractor is place.

         4.      The patient is placed in Trendelenburg position.

         5.      Intestines are protected by laparotomy pads if adhesions are present.

         6.      The affected tube and ovary are isolated from surrounding organs.

         7.      Infundibulopelvic ligament is ligated and divided.

         8.      The broad ligament attachment of the tube and ovary.

         9.      The tube and ovary are excised.

         10.    Site reperitonealized.

         11.    Wound is closed in layers.

Instruments

•       General set.

•       Self-retaining retractor (e.g. Balfour or O’Connor O’Sullivan) (Fig. 8.100).

•       Somer’s clamp (Fig. 10.34).

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