Adnexectomy (removal of the fallopian tubes)

Surgical interventions in the hospital are covered by a loyalty program, which makes treatment even more affordable.

Adnexectomy, or removal of the uterine appendages, is a serious but often necessary operation that is performed to preserve the health and life of the patient. In many cases, such an intervention is the only way to prevent serious complications and improve the quality of life.

At the Oxford Medical Medical Center, adnexectomy is performed by highly qualified gynecological surgeons with many years of experience. They use the latest minimally invasive technologies and expert-class equipment, which ensures maximum efficiency and quick recovery after surgery. For the comfort of patients, the hospital is equipped with single and double hotel-type wards.

Adnexectomy is a surgical procedure that removes the fallopian tubes and ovaries. The operation is performed when conservative methods do not help and there is a need to avoid serious complications, such as tube rupture, bleeding, or the development of peritonitis.

Adnexectomy can be:

• unilateral (removal of one tube and ovary);
• bilateral (removal of both pairs of appendages).

Most often, the procedure is performed using minimally invasive laparoscopic techniques, which significantly shortens the recovery period and reduces the risk of postoperative complications.

Adnexectomy helps prevent serious consequences, such as peritonitis, tissue necrosis, and the spread of infection to other organs. In addition, when malignant neoplasms are detected, surgery is critical to prevent further tumor growth. In some cases, removal of the uterus and appendages is also necessary. For women who experience constant pain due to chronic inflammatory processes or endometriosis, adnexectomy can significantly improve the quality of life.

Adnexectomy, or removal of the fallopian tube, can be performed laparoscopically (minimally invasive) and laparotomically (open). Which method is optimal is determined individually by doctors.

The main stages of laparoscopic adnexectomy:

1. Anesthesia. The operation is performed under general anesthesia.

2. Introduction of the laparoscope and instruments. After immersing the patient in anesthesia, the surgeon makes several small incisions in the abdominal cavity. Through the first incision, a laparoscope is inserted - a thin tube with a camera at the end, which allows the doctor to see the surgical field on the screen in real time. High-quality images help the surgeon control each stage of the operation with high accuracy.

3. Removal of the fallopian tubes and ovaries. The surgeon inserts special instruments through other incisions that allow the removal of the fallopian tubes and ovaries (if necessary) with minimal damage to healthy tissues.

4. Completion of the procedure. After completing the manipulations, the surgeon removes the instruments and laparoscope, and sutures the incisions. Due to their small size, the stitches are usually barely noticeable and heal quickly.

Advantages of the laparoscopic technique:

• Less pain after surgery – since the incisions are small, the patient experiences less discomfort and pain after surgery.
• Fast recovery – the rehabilitation period is usually shorter, and the patient can return to daily life after 1-2 weeks.
• Minimal scarring – thanks to the small incisions, the scars are practically invisible, which is important for the cosmetic effect.
• Lower risk of complications – laparoscopy reduces the risk of infections and adhesions, making it safer for patients.

The laparotomic method involves open access to the pelvic organs through a larger incision in the abdominal cavity. This method is used in cases where laparoscopy is impossible or ineffective, for example, in the case of large tumors or complications of infectious diseases.

The main stages of open adnexectomy:

1. Anesthesia. Like laparoscopic surgery, laparotomy is performed under general anesthesia.

2. Access to the pelvic organs. After anesthesia is administered, the doctor prepares the operating field and makes an incision in the lower abdomen. Typically, the incision can reach from 10 to 20 cm.

3. Removal process. During laparotomic adnexectomy, the fallopian tubes and, if necessary, the ovaries are removed more radically, but with full control over each stage of the operation. This is especially important in complex cases when it is necessary to preserve the integrity of neighboring tissues or avoid the spread of infection.

4. Closing the surgical field. After the removal of the affected organs is completed, the doctor sutures the incision. If necessary, a drain is left to prevent fluid accumulation in the postoperative period.

Advantages of the laparotomic technique:

• Reliable access to organs - the open method allows the surgeon to have greater control over the surgical field, which is important in complex cases.

• Effectiveness in large tumors - Laparotomy is the preferred method for advanced forms of infectious diseases, as well as when it is necessary to remove large tumors.

Disadvantages of the laparotomic technique

• Greater postoperative discomfort – due to the large incision, the patient experiences more pain after the operation.

• Longer recovery period – recovery after laparotomy can take up to 4-6 weeks.

• Cosmetic aspect – the incision usually leaves a noticeable scar.

Rehabilitation after hysterectomy or adnexectomy depends on the type of surgery.

After laparoscopic surgery, the patient can get up after a few hours. The hospital stay is 1-3 days.

After laparotomy, a longer recovery period is required. The patient is usually under the supervision of doctors for 5 days to a week.

The Oxford Medical Center has a high-tech surgery department equipped with the latest expert-class equipment. It allows for the successful performance of minimally invasive and open surgeries of any complexity. Thanks to this, as well as the involvement of a team of surgeons who have many years of experience and are experts in their fields, patients can be confident in the effectiveness and safety of surgical treatment.

The price of adnexectomy at the Oxford Medical Clinic may vary depending on the type of surgery, the complexity of the case, and the need for additional procedures. You can find out the prices in advance here. The doctor will advise you more precisely on this issue during a preliminary consultation. Make an appointment at a convenient time for you by phone or fill out an application on the website.