Salpingectomy
Surgical removal of one or both fallopian tubes — performed for ectopic pregnancy, severe or recurrent PID, non-viable tubal pathology, or as a risk-reducing procedure for ovarian cancer prevention.
What is Salpingectomy?
Salpingectomy is the surgical removal of one or both fallopian tubes. It is indicated for tubal pathology that cannot be preserved — including a severely damaged or recurrently infected tube from PID, tubo-ovarian abscess, or hydrosalpinx prior to IVF. Bilateral salpingectomy significantly reduces the risk of high-grade serous ovarian cancer, as many such cancers originate in the fimbrial end of the tube. Dr. Ashwani Narla performs salpingectomy laparoscopically at Lux Hospitals, Hyderabad, preserving the ovary whenever possible.
Suitable for women with severely damaged or infected fallopian tubes, hydrosalpinx affecting IVF outcomes, recurrent PID, or those seeking risk reduction for ovarian cancer — particularly BRCA carriers wishing to defer oophorectomy.
How the Procedure Works
Anaesthesia & Port Placement
General anaesthesia is administered and laparoscopic ports are placed. Both tubes are inspected and the extent of pathology is assessed before surgery begins.
Mesosalpinx Dissection
The mesosalpinx — the tissue connecting the tube to the broad ligament — is dissected carefully, preserving the ovarian blood supply throughout.
Tubal Ligation & Division
The fallopian tube is ligated at its isthmic end near the uterus and divided, then dissected free from the broad ligament to its fimbrial end.
Specimen Removal
The tube is placed in an endobag and removed intact through a port site. Histopathology confirms the nature of tubal pathology.
Closure & Recovery
Ports are closed; hospital stay is typically one to two days. Ovarian function is preserved following unilateral or bilateral salpingectomy.
Outcomes
Who Needs This Treatment?
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Removes severely damaged or infected tubes that are a persistent source of infection
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Improves IVF outcomes by eliminating hydrosalpinx-related embryotoxic reflux
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Significantly reduces the risk of high-grade serous ovarian cancer
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Ovarian function and hormonal health are fully preserved after salpingectomy
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Laparoscopic approach with minimal scarring and rapid recovery
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Can be combined with treatment of other pelvic pathology in the same procedure
Removing a damaged or infected tube protects the patient and often the other tube too. And in high-risk women, bilateral salpingectomy is one of the most impactful cancer-prevention decisions we can offer.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Salpingectomy Cost in Hyderabad
The cost of salpingectomy in Hyderabad can vary depending on the condition of the fallopian tube, the extent of pelvic inflammatory disease (PID), the presence of hydrosalpinx, diagnostic investigations, surgical complexity, and post-operative care. Salpingectomy involves surgical removal of a fallopian tube and may be considered when a tube is severely damaged or affected by conditions such as hydrosalpinx. The estimated cost generally ranges from ₹1,00,000 to ₹2,00,000, with an approximate average cost of ₹1,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Salpingectomy for Pelvic Inflammatory Disease – Irreversibly Damaged Tube / Hydrosalpinx | ₹1,00,000 – ₹2,00,000 |
The actual treatment cost may vary depending on the extent of tubal damage, severity of PID, diagnostic findings, surgical approach, anesthesia charges, hospital stay, medications, and any additional procedures required.
Factors That Influence Salpingectomy Cost
Several factors can affect the overall cost of fallopian tube removal:
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Condition of the fallopian tube: The extent of tubal damage, scarring, or hydrosalpinx may influence the complexity of surgery.
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Severity of PID: Active or previous pelvic infection and associated pelvic changes may affect the surgical approach and treatment requirements.
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Diagnostic investigations: Ultrasound, blood tests, and other imaging or evaluations may be recommended before surgery.
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Surgical approach: The technique used for salpingectomy, including minimally invasive surgery where appropriate, can influence the overall expenses.
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Anesthesia and hospital care: Anesthesia, hospitalization, medications, monitoring, and post-operative care may contribute to the total cost.
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Additional procedures: If adhesions or other pelvic conditions require treatment during surgery, the overall treatment cost may increase.
Is Salpingectomy Covered by Insurance?
Salpingectomy may be covered by health insurance when it is medically necessary to treat a damaged fallopian tube, hydrosalpinx, or another eligible gynecological condition. Coverage depends on the patient's policy terms, inclusions, exclusions, and pre-authorization requirements. The hospital's insurance support team can assist with documentation and guide patients through the cashless or reimbursement process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla is a Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad. She provides evaluation and treatment for various gynecological conditions, including pelvic inflammatory disease, tubal disorders, and other conditions affecting the reproductive organs. During the consultation, Dr. Ashwani Narla will review the patient's symptoms, medical history, examination findings, and diagnostic reports. She will assess the condition of the fallopian tube and determine whether salpingectomy is an appropriate treatment option. She will also discuss suitable surgical approaches, expected recovery, fertility-related considerations where relevant, and the estimated treatment cost based on the patient's individual condition.
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