salpingectomy

卵管切除術 　

WordNet

1. surgical removal of one or both Fallopian tubes
2. surgical removal of one or both ovaries and the corresponding Fallopian tubes

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/12/22 20:36:42」(JST)

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Salpingectomy
Intervention
Schematic frontal view of female anatomy
ICD-9-CM	66.4-66.6
MeSH	D058994

Salpingectomy refers to the surgical removal of a Fallopian tube. It is often related to tubal pregnancies and is a procedure that is preferred over its ovarian tube-sparing counterparts due to the high rate of recurrence in said ectopic pregnancies.

Salpingectomy is different from a salpingostomy and salpingotomy. The latter two terms are often used interchangeably and refer to creating an opening into the tube (e.g. to remove an ectopic pregnancy), but the tube itself is not removed. Technically, the creation of a new tubal opening (os) by surgery would be a salpingostomy, while the incision into the tube to remove an ectopic is a salpingotomy.

Indications

The procedure was performed by Lawson Tait in 1883 in patients with a bleeding ectopic pregnancy; this procedure has since saved the lives of countless women. Other indications for a salpingectomy include infected tubes, (as in a hydrosalpinx) or as part of the surgical procedure for tubal cancer.

A bilateral salpingectomy will lead to sterility, and was used for that purpose, however less invasive procedures have become available as tubal occlusion procedures.

Prophylactic salpingectomy can be performed on patients who are at a high risk of developing ovarian cancer

Process

Salpingectomy has traditionally been done via a laparotomy; more recently however, laparoscopic salpingectomies have become more common as part of minimally invasive surgery. The tube is severed at the point where it enters the uterus and along its mesenteric edge with hemostatic control.

Salpingo-oophorectomy

Salpingectomy is commonly done as part of a procedure called a salpingo-oophorectomy, where one or both ovaries, as well as one or both Fallopian tubes, are removed in one operation (a Bilateral Salpingo-Oophorectomy (BSO) if both ovaries and Fallopian tubes are removed). If a BSO is combined with a hysterectomy, the procedure is commonly called a TAH-BSO: Total Abdominal Hysterectomy with a Bilateral Salpingo-Oophorectomy. Sexual intercourse remains possible after salpingectomy, surgical and radiological cancer treatments, and chemotherapy. Reconstructive surgery remains an option for women who have experienced benign and malignant conditions.

History

Salpingectomies were performed in the United States in the early 20th century in accordance with eugenics legislation. From Buck v. Bell (1927):

The Virginia statute providing for the sexual sterilization of inmates of institutions supported by the State who shall be found to be afflicted with an hereditary form of insanity or imbecility, is within the power of the State under the Fourteenth Amendment.

Buck v. Bell while not expressly overturned, was implicitly overturned by Skinner v. Oklahoma (1942), in which the Court held that a person's choices whether to aid in the propagation of the human species was a cognizable fundamental right guaranteed under the 14th Amendment of the Constitution, a liberty retained by the people under the 9th Amendment of the Constitution.

See also

• Tuboplasty
• Prophylactic salpingectomy
• List of surgeries by type

References

UpToDate Contents

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• 1. 卵巣癌、卵管癌、および腹膜癌のリスク低減のための日和見卵管切除 opportunistic salpingectomy for ovarian fallopian tubal and peritoneal carcinoma risk reduction
• 2. 出産後の避妊手術 postpartum sterilization
• 3. 子宮外妊娠：外科治療 ectopic pregnancy surgical treatment
• 4. 女性の腹腔鏡下避妊手術 laparoscopic female sterilization
• 5. 女性の不妊症の治療の概要 overview of treatment of female infertility

English Journal

• Opportunistic salpingectomies for the prevention of a high-grade serous carcinoma: a statement by the Kommission Ovar of the AGO.

• Pölcher M1, Hauptmann S, Fotopoulou C, Schmalfeldt B, Meinhold-Heerlein I, Mustea A, Runnebaum I, Sehouli J.
• Archives of gynecology and obstetrics.Arch Gynecol Obstet.2015 Jul;292(1):231-4. doi: 10.1007/s00404-015-3697-y. Epub 2015 Apr 26.
• The detection of premalignant cells in the epithelium of the fallopian tube has resulted in revolutionary theories regarding the origin of epithelial ovarian cancer (EOC). Serous tubal intra-epithelial carcinomas (STIC) have been detected in patients with BRCA 1 or 2 mutations and are considered as
• PMID 25914073
• PMID 26117521

• Tubal pregnancy associated with additional conception in a contralateral tube.

• Ishikawa H1, Kiyokawa T2, Okayama J1, Usui H1, Shozu M1.
• The journal of obstetrics and gynaecology research.J Obstet Gynaecol Res.2015 Jun 22. doi: 10.1111/jog.12744. [Epub ahead of print]
• Pregnancy of unknown location is defined as empty endometrial cavity despite positive pregnancy test, and often develops as overt intrauterine or ectopic pregnancy. The pathophysiology of persistent pregnancy of unknown location, however, which involves continuous low serum human chorionic gonadotro
• PMID 26098862

Japanese Journal

• 卵管妊娠に対して卵管摘出術後に同側卵管間質部妊娠を来たし腹腔鏡下に治療した2症例

• 福岡産科婦人科学会雑誌 41(1), 3-6, 2017-07
• NAID 40021308003

• 腹腔鏡下骨盤臓器脱手術の実際と選択的卵管・卵巣切除の課題 (第31回日本女性医学学会学術集会) -- (シンポジウム 骨盤臓器脱の治療)

• 日本女性医学学会雑誌 24(2), 204-208, 2017-04
• NAID 40021230785

• 症例報告 卵管妊娠に対し腹腔鏡下卵管部分切除施行後にhCG低下が遷延した1例

• 東京産科婦人科学会会誌 66(1), 54-57, 2017-01
• NAID 40021088164

Related Links

• Salpingectomy - Wikipedia, the free encyclopedia

Salpingectomy refers to the surgical removal of a Fallopian tube. Contents. 1 Indications; 2 Process; 3 Related procedures. 3.1 Salpingo-oophorectomy; 3.2 Salpingostomy / Salpingotomy. 4 History; 5 References. [edit] Indications ...

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リンク元

「卵管切除術」

「卵管切除術」

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英

removal of the fallopian tube, salpingectomy