What is Bilateral Salpingo-Oophorectomy?
Salpingo-oophorectomy is used for the treatment of ovarian and fallopian tube tumors and inflammation. Ovariectomy due to ovarian tumors generally do not retain the fallopian tube to prevent retained fallopian tube infection or ectopic pregnancy. If in addition to the tubal lesions, there are also lesions in the ovaries, such as tubal ovarian inflammation and abscesses, the tubal ovary should be removed together.
Basic Information
- Chinese name
- Salpingo-oophorectomy
- Related diseases
- Ovarian Cancer
- Specialty classification
- Gynecology
- Indication
- Ovarian tumor, ovarian non-neoplastic cyst torsion
- Contraindications
- Intolerable surgery, combined with severe medical and surgical diseases
- Postoperative complications
- Incision infection, intestinal adhesions
Anesthesia method and preoperative preparation for salpingo-oophorectomy
- Anesthesia mode
- Epidural anesthesia or general anesthesia.
- 2. Preoperative preparation
- (1) Skin preparation for the abdomen and vulva.
- (2) Preparation of intestinal tract: Sudden water enema before surgery. If it may involve bowel surgery, prepare the bowel for 3 days before surgery.
- (3) Preoperative medication should be used antibiotics to prevent infection 3 days before surgery. Sedatives, atropine or scopolamine were injected before surgery.
- (4) Indwelling the catheter.
- (5) Prepare blood or prepare autologous blood transfusion.
Indications for salpingo-oophorectomy
- 1. Ovarian tumor.
- 2. Non-neoplastic cysts of the ovary who have been twisted or ruptured cannot retain the ovaries on that side
Contraindications of salpingo-oophorectomy
- 1. Patients are generally in poor condition and cannot tolerate surgery.
- 2. Patients with severe internal and surgical diseases are not suitable for surgery.
Salpingo-oophorectomy surgery steps
- The general steps of the surgery:
- 1. Cut the abdominal cavity one by one.
- 2. Handle the pelvic funnel ligament.
- 3. Removal of diseased attachments and ovaries.
- 4. Embedding the broken end.
- 5. Suture the abdominal wall.
Postoperative complications of salpingo-oophorectomy
- Incision infection, intestinal adhesions.
Nursing after salpingo-oophorectomy
- 1. Postoperative care is the same as general laparotomy.
- 2. Give anti-inflammatory drugs to prevent or control infection.
Precautions for salpingo-oophorectomy
- 1. When a giant ovarian cyst is pulled out from the incision, it must be slow to prevent a sudden drop in blood pressure.
- 2. If the large ovarian cyst is difficult to pull out by hand or may cause cyst rupture when pulled out, it is feasible to puncture the cyst fluid, and protect the gauze with dry gauze to prevent the cyst fluid from overflowing into the abdominal cavity.
- 3. The removed ovarian tumor must be sectioned, and if necessary, a frozen section will be sent to exclude malignant tumors.
- 4. As long as the condition permits, as long as the condition permits, do not perform bilateral oophorectomy.
Diet after tubal ovariectomy
- A liquid diet can be entered 6 hours after surgery, but milk and sugar are forbidden, and the diet should not be excessive. After the peristalsis of the intestine is restored, it can exhaust itself and gradually transition to general food. In order to promote early healing of the incision and body recovery, it is advisable to enter a high-protein, high-vitamin, nutritious diet.