Directory 1 operation name 2 Alias of salpingectomy 3 classification 4 ICD coding 5 Overview 6 Indications 7 Contraindications 8 Preoperative preparation 9 Anesthesia and *** 10 Operation Steps This is a redirection entry, and * * * enjoys the content of radical operation for tubal pregnancy. For the convenience of reading, the radical operation of tubal pregnancy has been automatically replaced by salpingectomy. You can click here to restore the original appearance, or you can use the remarks to display the name of 1 salpingectomy.

2. salpingectomy is also called radical salpingectomy; Tubectomy with tubal pregnancy resection; Radical operation of tubal pregnancy

Classification 3 Obstetrics and Gynecology/Obstetrics and Gynecology Endoscopy/Laparoscopy/Laparoscopy for Tubal Pregnancy

4 ICD coding 66.6202

Overview salpingectomy refers to the removal of the entire affected fallopian tube, which is not only applicable to tubal pregnancy, but also to other tubal diseases. The manifestations of tubal blood vessels and tubal pregnancy are shown in the following figure (figure11.5.1.21~1.5.1.20.

Indications salpingectomy is suitable for:

1. No fertility requirements.

2. Those who have obvious chronic tubal inflammation and may have tubal pregnancy again.

3. The fallopian tube ruptured during pregnancy, which was seriously damaged and could not be repaired or restored.

7 contraindications 1. Severe cardiovascular disease and pulmonary insufficiency.

2. Diffuse peritonitis.

3. Umbilical hernia, diaphragmatic hernia, abdominal hernia, inguinal hernia or femoral hernia.

4. The second and third trimesters of pregnancy.

5. Abnormal coagulation function.

6. Due to the history of surgery, extensive scar on abdominal wall or extensive adhesion of abdominal cavity.

7. obesity.

8. Ectopic pregnancy with hemorrhagic shock.

8 preoperative preparation 1. Skin preparation of abdomen and vulva (including umbilical cleaning).

2. Intestinal preparation? 0. 1% soapy water was given at night before operation. If intestinal surgery may be involved, intestinal preparation should be done 3 days before operation.

3. preoperative medication? If the scope of operation is large, it may involve the intestine. Antibiotics should be used 3 days before operation to prevent infection. Sedative, atropine or scopolamine were injected 30 minutes before operation.

4. Indwelling catheter.

5. Prepare blood or prepare autologous blood transfusion.

9 anesthesia and *** 1. Epidural or general anesthesia.

2. supine posture.

10 surgical procedures 1. Electrocoagulation With the help of unipolar and bipolar electrocoagulation or internal coagulator, the joint between the part to be resected and normal tissue was electrocoagulated one by one, including salpingitis and proximal uterine horn. Generally, it is cut while curing (figure11.5.1.1.26).

2. ferrule ligation? First, put the ferrule into abdominal cavity from the same operation hole, put the ferrule on the affected fallopian tube with release forceps in the opposite operation hole, so that the ferrule surrounds the fallopian tube, then clamp the fallopian tube from the ferrule, so that the ferrule surrounds the fallopian tube mesothelium, and tighten the ferrule near the uterine horn. Ligate 2 ~ 3 lanes in the same way (Figure11.5.1.1.27).

3. Cut it with electrocoagulation scissors at the distance of 65438±0cm from the ligation, and be careful not to burn the casing again;

4. Specimen taking out: the smaller specimen can be taken out through the 10mm sheath, and the larger specimen can be put into the bag, and then the bag mouth is put out first, and the specimen can be taken out many times through the bag mouth. The samples taken out should be carefully examined for pregnant tissues (villi and embryonic tissues).