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Chapter-40 Tubes and Ovaries

BOOK TITLE: Operative Obstetrics and Gynecology

Author
1. Parihar Mandakini
2. Sharma Usha
3. Munshi Atul
4. Munshi Sujal
5. Mangal Shilpa
6. Singh Kavita N
7. Bellad MB
8. Rabbani Tamkeen
9. Devi Parimala
ISBN
9788184485370
DOI
10.5005/jp/books/11088_40
Edition
1/e
Publishing Year
2009
Pages
39
Author Affiliations
1. Mumbai, Mandakini IVF Centre, Chembur, Mumbai, India, Wockhardt Hospital, Mumbai, Maharashtra, India, Nova Specialty Hospital, Mumbai, Maharashtra, India, Somaiya Medical College; Mandakini Fertility Center, Mumbai, Maharashtra, India, Madakini IVF Center, Mumbai, Maharashtra, India, Mumbai, Maharashtra, India, Mandakini IVF Center; KJ Somaiya Medical College and Hospital; Family Welfare Committee FOGSI; Navi Mumbai Obstetrics and Gynecology Society; Wockhardt Hospital, Mumbai, Maharashtra, India, Mandakini IVF Center, Mumbai; KJ Somaiya Medical College and Hospital, Mumbai, Maharashtra, India, Mandakini IVF Center, Mumbai, Maharashtra, India, KJ Somaiya Medical College and Hospital, Mumbai, India, KJ Somaiya Medical College, Mumbai, KJ Somaiya Medical College and Hospital, Mumbai, Mandakini IVF Center, Mumbai, KJ Somaiya Medical College and Hospital, Mumbai, Maharashtra, India, Mumbai, India, Mandakini Fertility Clinic and IVF Centre Mumbai, Mandakini IVF Center, Mumbai, India, Family Welfare Committee, FOGS
2. Patna, Bihar, SK Memorial and AK Memorial Hospital, Patna, Grant Medical College, Mumbai, URM medical College, Meerut, UP, India, SK Memorial and AK Memorial Hospital, Patna, Bihar, India, Muzaffarnagar
3. Ahmedabad, NHL Medical College; GCS Medical College, Munshi Group of Hospitals, Ahmedabad, Gujarat, India, Kalpana Munshi Hospital LLP, Ahmedabad, Gujarat, India, Gujarat Cancer Society Medical College, Ahmedabad, Gujarat, India, GCS Medical College and Munshi Hospital, Ahmedabad, Gujarat, India, Ahmedabad, India, Smt NHL Municipal Medical College, Ahmedabad, NHL Municipal Medical College, Ahmedabad, NHL Municipal Medical College, Ahemdabad
4. National Innovation Foundation, Ahmedabad, Gujarat, India; Kiel, Germany, CICE, France, Munshi Hospital and Pulse NOVA IVI, Ahmedabad, Gujarat, India, Munshi Hospitals and Nova IVF, Ahmedabad, Gujarat, India
5. Mandakini IVF Centre, Mumbai, Mumbai, Maharashtra, India, Mumbai
6. Jabalpur, Madhya Pradesh, India, Netaji Subhash Chandra Bose Medical College and Hospital, Jabalpur, Madhya Pradesh, India, Netaji Subhash Chandra Bose, Medical College, Jabalpur, Madhya Pradesh, India, Netaji Subhash Chandra Bose Government Medical College Jabalpur, Madhya Pradesh, India, Jabalpur (MP), NSCB Government Medical College, Jabalpur, Madhya Pradesh, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India, Jabalpur, NSCB Medical College, Jabalpur, Madhya Pradesh, India, NSCB Medical College, Jabalpur (MP), NSCB Medical college, Jabalpur MP, Jabalpur, MP, India
7. KLE Universitys JN Medical, College Belgaum, Karnataka, India, Karnataka, India, Karnataka, KSOGA; KAHER’s Jawaharlal Nehru Medical College, Belgaum; KLES’S Dr PK Hospital, Belgaum, Karnataka, India, KAHER’s JN Medical College, Belagavi, Karnataka India
9. Bangaluru
Chapter keywords
hemostasis, muscular tube, failure rate, conventional method, national rules, tubectomy, proliferative phase, ectopic pregnancy, cyst, initial incision, retroperitoneal cysts, isotonic solution, sterilization, lowered fertility, pelvic adhesions, scissors, Foley catheter, adhesions

Abstract

This chapter discusses tubes and ovaries and surgical aspects of treating the related disorders. Studies have found that surgical treatment is particularly an important option for women with Ectopic pregnancy who are hemo-dynamically not stable or not likely to comply with post-treatment monitoring or who do not have facilities for immediate medical care. Salpingectomy is the removal of one or both of a woman\'s fallopian tubes when diagnosed with ectopic pregnancy. Treatment with methotrexate is gaining popularity and has been shown to have success rate similar to laparoscopic salpingostomy. Radical oophorectomy is removal of the ovary after high ligation of the ovarian artery at its origin, along with underlying peritoneum and combined with retrograde hysterectomy for malignant ovarian tumors. Residual ovary syndrome is characterized by recurrent pelvic pain or persistent pelvic mass or dyspareunia in patients where ovaries have been preserved.

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