Definition - What does Salpingolysis mean?
Salpingolysis is a surgical procedure that involves dividing the adhesions or scar tissues around the fallopian tube (adhesiolysis). The procedure promotes fertility by restoring the patency or openness of the tube. A salpingolysis is usually done in combination with ovariolysis, a procedure in which the ovaries are also freed from the scar tissue.
FertilitySmarts explains Salpingolysis
A salpingolysis is usually carried out with the help of laparoscopy, where a laparoscope (a long instrument with a camera attached) is passed into the abdominal cavity through a narrow cut. The surgeon then divides (or cuts) the adhesions paying careful attention to avoid injury to the abdominal/pelvic organs.
Laparoscopic salpingolysis is a minimally invasive procedure that offers more benefits than an open surgery:
- Helps to adequately visualize the interior of the abdomen so that the adhesions can be removed with ease
- Causes less pain and less bleeding following surgery
- Causes less trauma to the abdomen, pelvis, and its coverings
- Minimizes the chances of redeveloping adhesions
- Reduces the risk of abdominal wall weakness, thus, preventing hernia
- Shortens the hospital stay and the time to recovery
The following individuals are potential candidates for undergoing a salpingolysis:
- Women with pelvic adhesions such as that caused by pelvic inflammatory disease (PID), endometriosis, or Asherman's syndrome (a condition in which scar tissue forms within the uterus)
- Women with adhesion formation secondary to pelvic surgery or a non-gynecological abdominal surgery
- Women who have at least one patent Fallopian tube and are less than 35 years
- Women who have never had any fertility surgery performed on the tubes (which could otherwise increase the odds of redeveloping adhesions after salpingolysis)
The procedure opens up the blocked tubes and can help a woman get pregnant. The quality of an adhesiolysis procedure significantly affects the success rate of a pregnancy. The embryo may implant at an abnormal site outside the uterus – a condition known as ectopic pregnancy. The risk of ectopic pregnancy is higher when the woman conceives more than 16 months after the operation, indicating the reformation of adhesions due to trauma during the surgery.
In addition to ectopic pregnancy, salpingolysis can lead to other serious complications, such as:
- Injury to the abdominal organs
- Bowel obstruction