Bilateral salpingo-oophorectomy

Bilateral Salpingo-Oophorectomy is a surgical procedure that involves the removal of both ovaries and fallopian tubes. This procedure is often performed to treat or prevent diseases that affect the ovaries, such as ovarian cancer or endometriosis.

Indications

Bilateral salpingo-oophorectomy is often indicated in cases of malignant diseases such as ovarian, fallopian tube, or primary peritoneal cancers. It may also be performed in cases of benign diseases like endometriosis, ovarian cysts, or pelvic inflammatory disease. In some cases, it is done as a preventive measure in women with a high risk of developing ovarian or breast cancer due to genetic mutations such as BRCA1 or BRCA2.

Procedure

The procedure can be performed either through an open surgery (laparotomy) or a minimally invasive surgery (laparoscopy). The choice of procedure depends on the patient's overall health, the size of the ovaries, and the reason for the surgery. During the procedure, the surgeon detaches the ovaries and fallopian tubes from the surrounding structures and removes them through an incision in the abdomen or through the vagina.

Risks and Complications

As with any surgical procedure, bilateral salpingo-oophorectomy carries certain risks and complications. These may include infection, bleeding, damage to nearby organs, and complications from anesthesia. Long-term effects can include early onset of menopause, decreased sexual desire, and an increased risk of osteoporosis and cardiovascular disease.

Postoperative Care

Postoperative care after a bilateral salpingo-oophorectomy involves pain management, wound care, and monitoring for any signs of complications. Patients are also given hormone replacement therapy to manage the symptoms of menopause.

See Also

• Oophorectomy
• Salpingectomy
• Hysterectomy
• Endometriosis
• Ovarian cancer

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