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Laparoscopic salpingoophorectomy (removal of ovaries and fallopian tubes).

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Uploaded by on Feb 22, 2011

http://www.oxfordgynaecology.com/
A short video demonstrating laparoscopic removal of the ovaries and fallopian tubes, performed at the John Radcliffe Hospital Oxford.

Laparoscopic oophorectomy is the surgical removal of an ovary through keyhole incisions.

The removal of an ovary together with the fallopian tube is called salpingo-oophorectomy.

When both ovaries and both Fallopian tubes are removed, the term bilateral salpingo-oophorectomy (BSO) is used.

When it is necessary to remove the ovary?
Oophorectomy is usually performed because of diseases such as ovarian cysts or endometriosis.
Normal non diseased ovaries are sometimes also removed as a prophylactic procedure to prevent ovarian cancer later in life. This is particularly appropriate in women with a family history of ovarian cancer and/or with genetic polymorphisms such as BRCA1/BRCA2 (A "cancer gene").

What does the operation involve?
Removal of the ovary and its associated fallopian tube requires the ovary to be dissected free of surrounding structures. The ovarian artery is sealed and cut, and the remainder of the attachments are then divided. The ovary is then usually removed from the abdomen through one of the laparoscopic (keyhole) ports.

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