Salpingectomy Surgical Technique

Surgical Approach

Minimally invasive laparoscopic surgery is the preferred approach for salpingectomy, offering reduced morbidity, shorter hospitalization, and faster recovery compared to laparotomy, as recommended by the American College of Surgeons 1, 2
The laparoscopic approach provides superior visualization of the entire pelvic anatomy and allows for comprehensive assessment of both adnexa, according to the American College of Obstetricians and Gynecologists 3

In BRCA mutation carriers undergoing risk-reducing bilateral salpingo-oophorectomy, the specimen should be processed using the SEE-FIM (Sectioning and Extensively Examining the FIMbriated End) protocol, as recommended by the National Comprehensive Cancer Network 2
When performed as part of comprehensive staging for endometrial cancer, bilateral salpingo-oophorectomy should accompany hysterectomy, as recommended by the Society of Gynecologic Oncology 4, 5, 6
The minimally invasive approach is recommended for low- and intermediate-risk endometrial cancer and can be considered for high-risk disease, according to the American College of Obstetricians and Gynecologists 4

Robotic-assisted laparoscopy can be considered as an enhancement to standard laparoscopy, especially in obese women, according to the American College of Obstetricians and Gynecologists 7

For endometrial cancer staging, the minimally invasive approach is recommended for low- and intermediate-risk disease and can be considered for high-risk endometrial cancer, as suggested by the National Comprehensive Cancer Network 7
In young patients with germ cell tumors, unilateral salpingo-oophorectomy with preservation of the contralateral ovary and uterus is standard, and systematic ovarian biopsy is not necessary when the contralateral ovary is macroscopically normal, according to the European Society for Medical Oncology 8