How is the surgical approach selected for salpingo-oophorectomy?

Updated: Feb 06, 2018
  • Author: Stacie M Ward, MD; Chief Editor: Christine Isaacs, MD  more...
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An abdominal approach may be preferred if the patient has known or suspected severe adhesive disease, a large adnexal mass, or if there is a high suspicion of malignancy. [14] A laparoscopic approach may be appropriate in cases with low risk of malignancy and smaller sized adnexal mass. [14] A laparoscopic approach is beneficial in that it decreases blood loss, length of hospital stay, and recovery time. A vaginal approach is the least common approach [15] and is only used when a salpingo-oophorectomy is done concurrently with a vaginal hysterectomy.

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