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).
Any questions be sent to drmmkapur@gmail.com
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