Salpingo-oophorectomy
Surgical removal of the fallopian tube and ovary together — performed for complex ovarian pathology, cancer risk reduction, non-viable torsion, or as part of definitive treatment for hormone-driven conditions.
What is Salpingo-oophorectomy?
Salpingo-oophorectomy is the surgical removal of the fallopian tube and ovary as a combined unit. It is performed when both structures are involved in pathology — such as a tubo-ovarian abscess, complex adnexal mass, or non-viable torsion — or as prophylaxis in women at high genetic risk of ovarian or fallopian tube cancer. Dr. Ashwani Narla performs salpingo-oophorectomy laparoscopically at Lux Hospitals, Hyderabad, with careful attention to vascular control and specimen integrity.
Suitable for women with complex adnexal pathology involving both the tube and ovary, non-viable torsion, tubo-ovarian abscess, or those undergoing risk-reducing surgery for BRCA-related cancer risk.
How the Procedure Works
Anaesthesia & Access
General anaesthesia is administered. Laparoscopic ports are placed and both adnexa are inspected to assess extent of pathology before surgery begins.
Infundibulopelvic Ligation
The infundibulopelvic ligament containing the ovarian vessels is carefully identified, ligated, and divided to secure the vascular pedicle.
Broad Ligament Dissection
The tube and ovary are dissected free from the broad ligament, uterus, and surrounding structures, ensuring the ureter is identified and protected.
Specimen Removal
The tube and ovary are placed in an endobag and removed intact. Frozen section histology may be requested if malignancy is suspected.
Closure & Recovery
Port sites are closed; hospital stay is typically one to two days. Hormonal management is discussed if bilateral removal has been performed.
Outcomes
Who Needs This Treatment?
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Removes both the tube and ovary together — appropriate when both are involved in pathology
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Eliminates the risk from complex adnexal masses where the tube cannot be separated
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Reduces ovarian and fallopian tube cancer risk significantly in BRCA carriers
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Laparoscopic approach offers minimal scarring and rapid recovery
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Intraoperative frozen section guides further surgical management when needed
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Contralateral adnexa preserved whenever safe to maintain hormonal and reproductive function
When the tube and ovary must be removed together, the priority is clean, safe surgery — protecting the ureter, securing the vessels precisely, and preserving everything on the other side that we can.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Salpingo-Oophorectomy Cost in Hyderabad
The cost of salpingo-oophorectomy in Hyderabad depends on the type and size of the ovarian cyst, the condition of the ovary and fallopian tube, the complexity of surgery, pre-operative investigations, anesthesia, and hospital care. Salpingo-oophorectomy is a surgical procedure in which an ovary and its corresponding fallopian tube are removed together. It may be considered for selected ovarian cysts when preservation of the affected ovary and tube is not appropriate or when removal is clinically necessary. The estimated cost ranges from ₹1,20,000 to ₹2,40,000, with an average cost of approximately ₹1,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Salpingo-Oophorectomy Tube and ovary removed together | ₹1,20,000 ₹2,40,000 |
The actual cost may vary depending on the size and characteristics of the ovarian cyst, the condition of the ovary and fallopian tube, the presence of adhesions or other pelvic conditions, and the surgical approach required. Additional factors such as pre-operative imaging and laboratory tests, anesthesia, operating-room charges, hospital admission, medicines, histopathology, and follow-up care may also affect the total expense.
In suitable patients, the decision to remove both the fallopian tube and ovary is based on the clinical findings and whether the affected structures can be safely preserved. The treatment plan may also take the patient's age, reproductive goals, ovarian function, and overall gynecological condition into consideration.
Factors Affecting Salpingo-Oophorectomy Cost
The cost can differ between patients because ovarian cysts vary in size, type, location, and relationship to the fallopian tube and surrounding pelvic structures. The reason for removing both the ovary and tube and the complexity of surgery can also influence the overall treatment expense.
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Type and size of ovarian cyst: Larger, complex, or difficult-to-access cysts may require more extensive surgical work.
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Condition of the ovary and tube: Damage, inflammation, torsion, or other changes may affect whether the structures can be preserved.
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Location of the cyst: The position of the cyst and its relationship to nearby organs can influence surgical difficulty.
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Pelvic adhesions: Previous infection, surgery, or endometriosis may cause adhesions that make separation of the ovary and tube more complex.
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Pre-operative evaluation: Ultrasound, blood tests, MRI or other imaging where indicated, and additional assessments may contribute to the overall cost.
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Surgical approach: Laparoscopic or open surgery may be selected according to the patient's condition, cyst characteristics, and clinical requirements.
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Anesthesia and hospital care: Anesthesia, operating-room charges, admission, monitoring, and recovery services form part of the treatment expense.
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Histopathology: The removed ovary, tube, or cyst tissue may be examined in the laboratory, with pathology charges contributing to the total cost.
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Additional procedures: Treatment of associated endometriosis, adhesions, or other pelvic conditions during the same surgery may increase the overall expense.
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Post-operative care: Medicines, follow-up consultations, monitoring, and recovery-related treatment can also affect the final cost.
Insurance Coverage for Salpingo-Oophorectomy
Salpingo-oophorectomy may be covered by health insurance when it is performed as medically necessary treatment for a covered ovarian condition. Coverage depends on the diagnosis, indication for surgery, policy terms, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Patients should confirm their policy benefits, applicable limits, and cashless treatment eligibility with their insurance provider before planned admission.
- 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, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with ovarian cysts and other gynecological conditions. During consultation, she reviews symptoms, menstrual and reproductive history, previous treatments or surgeries, examination findings, and relevant ultrasound or other diagnostic reports. She assesses the size, type, and location of the cyst and evaluates the condition of the ovary and fallopian tube to determine the most appropriate treatment approach. Where clinically appropriate, ovarian or tubal preservation may be considered, while removal of the affected tube and ovary may be recommended when preservation is not suitable. The consultation may also include discussion of the surgical approach, preparation, expected recovery, possible additional procedures, pathology evaluation, implications of removing one ovary and tube where relevant, and the estimated treatment cost.
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