CPT® Code 58770

A salpingostomy, also known as salpingoneostomy or neosalpingostomy, is a surgical procedure that involves creating an opening in the fallopian tube through an abdominal incision. This procedure is primarily indicated for the treatment of hydrosalpinx, a condition characterized by the accumulation of fluid within the fallopian tube. Hydrosalpinx typically occurs due to an obstruction at the end of the tube, which can result from various factors such as previous infections, surgeries, or other injuries. When the tube becomes obstructed, the normal secretions that are produced cannot be expelled, leading to a buildup of fluid that causes the tube to swell. During the procedure, the surgeon makes an incision in the lower abdomen to access the abdominal cavity, where the uterus, fallopian tubes, and ovaries are carefully inspected. The presence of adhesions, which are bands of scar tissue that may be causing obstruction, is assessed, and any identified adhesions around the fallopian tube, ovary, and round ligament are lysed to facilitate access and improve the surgical outcome. The fallopian tube is then distended through a transcervical injection of saline or dye, which helps to visualize the condition of the tube. The hydrosalpinx is subsequently opened using surgical instruments such as scissors, a micro-needle, or a laser, creating a new tubal os that allows for the potential passage of ovum and sperm. The procedure may also involve making additional radial incisions to further enhance the opening of the tube. To confirm that the tube is patent, additional dye may be injected into the uterus before the abdominal incision is closed, ensuring that the procedure has successfully restored the function of the fallopian tube.