What to pay attention to after fallopian tube removal

When fallopian tube disease occurs, people think that as long as the fallopian tube is removed surgically, the spread of the disease can be prevented and harm can be avoided. However, the fallopian tube is connected to the ovary. If the fallopian tube loses some function, the function of the ovary will also be lost, which will lead to endocrine disorders and the ovary will not function normally, which will cause long-term risks. Therefore, after the fallopian tube is removed, the patient should be prepared to prevent ovarian cancer and take some precautions to prevent the disease.

Precautions for fallopian tube removal to prevent ovarian cancer :

Women undergoing routine pelvic surgery should be counseled about the risks and benefits of salpingectomy, including an informed consent form for oophorectomy and bilateral salpingectomy. Among gynecological cancers, ovarian cancer has the highest mortality rate; it has now risen to fifth place in the ranking of female cancer mortality rates. Ovarian cancer survival rates have not improved significantly in the last 50 years.

1. Surgeons should discuss the potential benefits of salpingectomy based on the population risk of ovarian cancer in women.

2. Physicians should inform women considering laparoscopic sterilization that bilateral salpingectomy can provide effective contraception and should point out that this surgery can also prevent the disease of fallopian tube torsion.

3. For some women, prophylactic salpingectomy may prevent ovarian cancer.

4. More randomized controlled trials are needed to verify the use of salpingectomy to prevent ovarian cancer.

The committee called on surgeons to use minimally invasive techniques. At this time, the benefits of salpingectomy should not influence the decision about which method of hysterectomy to use for sterilization. For example, the committee recommends that surgeons not switch from vaginal to laparoscopic hysterectomy just to do a salpingectomy.

The committee concluded that, contrary to conventional wisdom, approximately 75% of ovarian cancers and 90% of deaths from ovarian cancer are caused by epithelial ovarian cancer. Traditionally, epithelial ovarian cancer was thought to originate from a small part of the ovary, but the latest research suggests that it originates from the fallopian tube and part of the endometrium. Studies have also shown that tubal ligation plays a preventive role in endometrial clear cell carcinoma.