Description

Laparoscopic bilateral salpingectomy has emerged as a safe, effective, and minimally invasive procedure for permanent female sterilization and for reducing the risk of epithelial ovarian cancer. With advancements in endoscopic technology and standardized surgical training, this procedure can now be performed with high precision and minimal morbidity. World Laparoscopy Hospital (WLH), a global center of excellence in minimal access surgery, has played a significant role in simplifying and standardizing the operative technique through structured training and evidence-based surgical protocols. The procedure begins with proper patient selection, preoperative counseling, and thorough evaluation. Under general anesthesia, the patient is placed in the lithotomy position with a slight Trendelenburg tilt to allow optimal pelvic visualization. Pneumoperitoneum is established using a Veress needle or optical trocar, followed by the placement of a 10 mm umbilical port for the laparoscope and two or three accessory ports under direct vision. A systematic inspection of the pelvis is essential before proceeding. Identification of the fallopian tube from the fimbrial end to the uterotubal junction is a key step emphasized at WLH. The tube is gently lifted to clearly visualize the mesosalpinx and adjacent vascular structures. Using advanced energy devices such as bipolar cautery or harmonic scalpel, the mesosalpinx is coagulated and divided in a stepwise manner. Care is taken to stay close to the tube to avoid injury to the ovarian blood supply. The tube is then separated from the uterus at the cornual end and removed safely, usually through the 10 mm port. The same technique is repeated on the contralateral side, ensuring complete removal of both fallopian tubes. Hemostasis is meticulously checked, and the pelvic cavity is irrigated if necessary. Port closure is performed after releasing the pneumoperitoneum, resulting in minimal scarring and faster recovery. World Laparoscopy Hospital emphasizes ergonomics, precise tissue handling, and a standardized step-by-step approach, making the procedure reproducible even for surgeons in training. Patients benefit from reduced postoperative pain, shorter hospital stays, and rapid return to daily activities. Through its structured laparoscopic training programs, WLH continues to set benchmarks in simplifying complex procedures while maintaining the highest standards of patient safety and surgical excellence.