Description

Bilateral salpingectomy with appendicectomy is a combined laparoscopic surgical procedure that addresses two different pathologies in a single operative sitting: removal of both fallopian tubes (salpingectomy) and removal of the appendix (appendicectomy). At World Laparoscopy Hospital, under the expertise of Prof. Dr. R. K. Mishra, this advanced minimally invasive approach is performed with precision, safety, and patient-focused care. Indications for Bilateral Salpingectomy Bilateral salpingectomy is commonly performed in women for: Hydrosalpinx associated with infertility treatment (especially prior to IVF). Ectopic pregnancy in the fallopian tube. Prophylactic salpingectomy for patients with a high risk of ovarian or tubal cancer (BRCA mutation carriers). Chronic or recurrent pelvic infections causing damage to the fallopian tubes. As part of hysterectomy procedures to reduce cancer risk. Indications for Appendicectomy Appendicectomy is indicated when: Acute appendicitis is diagnosed. Recurrent or chronic appendicitis symptoms are present. Incidentally, during gynecological surgery when appendix pathology is suspected. Why Combine Both Procedures? Sometimes, patients present with co-existing conditions such as tubal pathology and appendiceal inflammation. Performing both procedures laparoscopically in one sitting: Avoids multiple hospital admissions and anesthesia exposures. Reduces overall recovery time. Minimizes postoperative pain and complications. Provides a complete surgical solution with one minimally invasive approach. Laparoscopic Technique by Dr. R. K. Mishra Port Placement: Typically, a three or four-port technique is used. Exploration: Pelvic and abdominal organs are carefully examined. Salpingectomy: Both fallopian tubes are dissected using energy sources such as harmonic scalpel or bipolar cautery, ensuring hemostasis. The mesosalpinx is divided, and tubes are removed. Appendicectomy: The appendix is mobilized, mesoappendix divided, and base of the appendix secured with endoloops or staplers before removal. Specimen Retrieval: Tubes and appendix are removed in an endobag to prevent spillage. Closure: Ports are removed under vision, and incisions closed cosmetically. Advantages of the Laparoscopic Approach Small keyhole incisions with minimal scarring. Reduced postoperative pain and shorter hospital stay. Faster return to daily activities. Lower risk of infection and complications compared to open surgery. Expertise of Dr. R. K. Mishra Dr. R. K. Mishra, a world-renowned laparoscopic and robotic surgeon, is known for performing complex combined procedures with excellence. At World Laparoscopy Hospital, his vast experience ensures that patients receive the most advanced and safe treatment options. His surgical expertise and teaching have trained thousands of surgeons and gynecologists worldwide in performing such advanced laparoscopic surgeries. Conclusion Bilateral salpingectomy with appendicectomy, when indicated, offers patients a comprehensive, minimally invasive solution to coexisting gynecological and gastrointestinal conditions. Under the leadership of Dr. R. K. Mishra, this procedure not only provides clinical effectiveness but also ensures quicker recovery and improved patient satisfaction.