Perioperative management - Bilateral salpingectomy, laparoscopic

Conducting an adequate medical history including previous gynecological procedures, menstrual cycle, medication, allergies, and existing conditions, as well as performing a gynecological examination. The examination aims to identify other pathologies of the uterus or adnexa to potentially avoid surgery. Assessment of the external genitalia, vagina, cervix, and uterus. Palpation to determine the size, position, and mobility of the uterus. Additionally, determining the actual distress or needs of the patient. Subsequently, informing about alternative treatment options.

Laboratory examination (depending on the needs of the clinic)

For women of childbearing age, a preoperative pregnancy test is mandatory.

Further examinations (MRI, CT) are only useful with corresponding indications.

• Wound healing disorder
• Infection, rarely intra-abdominal abscess requiring revision or percutaneous drainage
• Postoperative ileus
• Adhesions
• Injuries to other organs, intestines, bladder, ureter
• Subcutaneous emphysema
• Post-laparoscopic shoulder pain syndrome
• General surgical risks (bleeding, rebleeding, thrombosis, embolism, HIT)
• Possible conversion to open technique in case of complications
• Urinary retention
• Positioning injuries
• Burns
• Dissemination of benign as well as malignant cells, in rare cases of malignancy, worsening prognosis
• Information about alternative treatment methods

• no preoperative bowel evacuation
• no shaving
• if necessary, antibiotic prophylaxis during induction of anesthesia (cephalosporins of group 2 and metronidazole), depending on the extent of the operation

• Remove catheters, drains, and tampons as early as possible
• Thrombosis prophylaxis for 7 days, adjust if necessary in case of prolonged immobilization or infection. Extend to 4 weeks for oncological procedures.
• No restriction on food intake

A final examination should be conducted before discharge.

• Physical examination with palpation of the abdomen,
• if necessary, a speculum setting with rectal/vaginal examination should also be performed.
• if applicable, renal ultrasound
• Information on postoperative behavior measures (resumption of moderate to heavy activities in 2-3 weeks)