Indication
- Female Sterilization.
- Opportunistic salpingectomy at the time of hysterectomy for benign disease as a means to reduce the epithelial ovarian cancer risk.
Inspection of the pouch of Douglas and both adnexa. Making sure that small bowel loops are displaced from the small pelvis may prevent organ injury. 
Grasping of the tube should always aim to bring the tube medially. The second grasper next to the ovary is only half-closed. 
The half-closed grasper moves upward for the “tubal slide” and closes as far as possible from the ovary before bipolar energy is used. This movement serves the retainment of ovarian blood supply through the infundibulopelvic ligament. 
Bipolar coagulation of the mesosalpinx next to the fallopian tube. Bipolar has already been used at the isthmus. 
Finishing cut to the salpingectomy after enough coagulation has been performed for a bloodless extraction.
Contraindications
- None.
Complications
- Nearby organ, vessel or nerve injury.
- Damage to the ovarian reserve, if anatomy is not respected.
Postoperative Management
- If performed as a stand-alone operation for sterilization, early discharge.
Bibliography
- Kyo, S, Ishikawa, N, Nakamura, K, Nakayama, K. The fallopian tube as origin of ovarian cancer: Change of diagnostic and preventive strategies. Cancer Med. 2020; 9: 421– 431. https://doi.org/10.1002/cam4.2725
Gynaecologia 
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