Special Surgical Procedures II

LESSON 2: Procedures in Gynecological and Obstetrical Surgery

Section III: ABDOMINAL GYNECOLOGICAL AND OBSTETRICAL SURGERY


2-41

[Previous] [Next]

Introduction

 

Table of Contents

 

Search

 

Exercises

 

Courses

 

About this Text

 

Nursing 411

 

Contact Us

 

Links

2-41. SALPINGO-OOPHORECTOMY

 

a. General. This operation is the removal of a tube and all or part of the associated ovary. It may be done in some young women who are anxious to have children after all other methods of treatment have failed to cure chronic salpingo-oophoritis, in patients with ectopic tubal gestation, or in those with tuberculosis of the adnexa or large adnexal cysts. If both tubes and ovaries are diseased, they are removed with total hysterectomy.

 

b. Operative Procedure.

(1) The abdominal wall and peritoneal cavity are opened, as for laparotomy.

 

(2) The affected tube is grasped with Allis or Babcock forceps. The infundibulo-pelvic ligament is clamped with Mayo hemostats, cut, and ligated with chromic gut number 0 or number 2-0, swaged to a 1/2- circle, taper-point needle, or number 2-0 silk on a French-eye needle.

 

(3) The mesosalpinx is grasped with Kelly hemostats and divided with the suspensory ligament of the ovary.

 

(4) The cornual attachment of the tube is excised with a knife or curved scissors. Bleeding vessels are controlled with suture ligatures.

 

(5) The edges of the broad ligament are peritonealized from the uterine horn to the infundibulopelvic ligament, as for hysterectomy.

 

(6) The wound is closed as for laparotomy; dressings are applied and held in place with adhesive or plastic tape.

 

[Previous] [Next]


These Nursing411 wings incorporate the white heart of international nursing with the
golden wings of an angel, symbolizing Nursing's selfless dedication
to the service of mankind.

The Brookside Associates Medical Education Division  develops and distributes medical information that may be useful to medical professionals and those in training to become medical professionals. This website is privately-held and not connected to any governmental agency. The views expressed here are those of the authors, and unless otherwise noted, do not necessarily reflect the views of the Brookside Associates, Ltd., or any governmental or private organizations. All writings, discussions, and publications on this website are unclassified.

© 2008 Medical Education Division, Brookside Associates, Ltd. All rights reserved

Other Brookside Products

Contact Us

Advertising on this Site