Laparoscopic Salpingectomy
Expert minimally invasive management of ectopic pregnancy, hydrosalpinx clearance prior to IVF, and tubal health restoration by Dr. Manisha Kumari.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Gynaecologist & Ultrasound Specialist- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Best Laparoscopic Salpingectomy in Bhubaneswar
Emergency ectopic pregnancy intervention, pre-IVF hydrosalpinx removal, and delicate tubal surgery performed by Dr. Manisha Kumari at IMS & SUM Hospital, Bhubaneswar.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Laparoscopic Gynaec Surgeon- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Expert Tubal & Emergency Ectopic Care
- Have you been diagnosed with an ectopic pregnancy requiring urgent keyhole surgery?
- Has a hydrosalpinx (swollen fluid-filled fallopian tube) caused repeated IVF failures?
- Are severe pelvic inflammatory disease (PID) or tubal infections causing chronic pelvic pain?
The fallopian tubes play a critical role in natural conception, but diseased tubes—whether from an ectopic pregnancy or chronic hydrosalpinx—can pose serious health risks and block embryo implantation. Laparoscopic Salpingectomy is the minimally invasive surgical removal of a damaged or diseased fallopian tube.
Dr. Manisha Kumari combines rapid clinical diagnostics with micro-laparoscopic precision at IMS & SUM Hospital, providing both emergency ectopic salvage and planned pre-IVF tubal optimization.
- Step 1: Keyhole Entry: 2 to 3 micro-incisions (5mm) allow introduction of a high-definition laparoscope and harmonic energy dissector.
- Step 2: Pelvic Survey: Complete assessment of the uterus, ovaries, contra-lateral tube, and Pouch of Douglas to identify adhesions or hidden endometriosis.
- Step 3: Tubal Coagulation & Division: The diseased fallopian tube is carefully disconnected from the mesosalpinx using advanced bipolar/harmonic shears, taking extreme care not to compromise blood flow to the adjacent ovary.
- Step 4: Endoscopic Specimen Removal: In ectopic cases, the ectopic tissue is retrieved completely inside a specimen pouch, and hemoperitoneum (internal blood) is thoroughly irrigated and suctioned out.
- Step 5: Rapid Cosmetic Closure: Punctures are closed with absorbable sub-cuticular sutures that leave virtually no visible scar.
Zero open abdominal cuts, minimal post-operative discomfort, and rapid return to home within 24 hours.
Laparoscopy vs. Open Laparotomy for Tubal Surgery
Laparoscopic Salpingectomy
- Tiny 5mm punctures with minimal cosmetic markings.
- Zero cutting of abdominal muscle fibers.
- Significantly lower pain and minimal analgesic requirement.
- Discharge in 24 hours; back to work in 5 to 7 days.
- Clean peritoneal suctioning prevents future adhesion formation.
Open Laparotomy
- Large 8–12 cm lower abdominal surgical incision.
- Higher operative blood loss and wound infection risk.
- Significant post-operative pain requiring strong opioids.
- 4 to 5 days hospital stay; 4 to 6 weeks recovery period.
- Higher incidence of bowel adhesions and incisional hernia.
Cashless TPA & Insurance Facility
Laparoscopic Salpingectomy is covered by all corporate insurance policies, Ayushman / BSKY schemes at IMS & SUM Hospital, Bhubaneswar.
Consultations at Dumduma Clinic; emergency and planned surgeries conducted at IMS & SUM Hospital with 24x7 blood bank and modular OT support.
Why Choose Dr. Manisha Kumari for Tubal Surgery?
- Specialized Keyhole Gynaec Surgeon: Extensive experience in complex emergency laparoscopies and ectopic salvage.
- Ovarian Blood Supply Preservation: Precise dissection preserving the utero-ovarian vascular arcade to protect ovarian function.
- High-Precision In-House Ultrasound: Rapid ectopic pregnancy diagnosis before tubal rupture occurs.
- Doubling IVF Implantation Success: Removing toxic hydrosalpinx fluid dramatically elevates embryo transfer outcomes.
- 24x7 Emergency Surgical Readiness: Rapid hospital admission and immediate OT readiness at IMS & SUM Hospital.
- Complete Cashless TPA Support: Dedicated desk to facilitate effortless insurance approvals.
- Dual Practice Locations: Dumduma Clinic OPD & IMS & SUM Hospital, Bhubaneswar.
Frequently Asked Questions
Common questions regarding ectopic pregnancy, hydrosalpinx removal, and fertility outcomes.
Yes, absolutely. As long as your other fallopian tube and ovary are healthy and patent, you can conceive naturally. The remaining fallopian tube can even pick up eggs released from the opposite ovary in some menstrual cycles.
A hydrosalpinx is filled with inflammatory fluid containing cytokines, endotoxins, and prostaglandins. This toxic fluid intermittently flushes back into the uterine cavity, washing away transferred embryos and halving IVF success rates. Removing the diseased tube restores a clean endometrial environment and doubles IVF success.
Key symptoms include a positive pregnancy test accompanied by one-sided sharp lower abdominal or pelvic pain, irregular dark brown vaginal spotting, shoulder tip pain (from internal diaphragmatic blood irritation), and dizziness or fainting. Immediate ultrasound evaluation is crucial.
Most women are advised to wait 2 to 3 normal menstrual cycles before attempting natural conception or proceeding with IVF. This allows pelvic tissues to heal completely and provides time to review the patency of the remaining tube via ultrasound or HSG.