Opportunistic salpingectomy at the time of safe gynecologic surgery try broadening twenty-two

Opportunistic salpingectomy at the time of safe gynecologic surgery try broadening twenty-two

Considering a health care professional survey from members of the brand new Western College or university regarding Obstetricians and Gynecologists, 77% would bilateral salpingectomy at the time of hysterectomy to own harmless signs. The new respondents along with did two-sided salpingectomy in the course of sterilization in the following the pricing: 53% during period sterilization, 26% during postpartum sterilization; and 37% through the cesarean deliveries 43. Other than a significant increase in surgical time for salpingectomy which have hysterectomy (16 moments) in accordance with sterilization (10 minutes), zero significant variations in duration of healthcare sit, readmissions, bloodstream transfusions, otherwise postoperative complications, bacterial infections, and fever was basically identified from inside the cases with and you will in place of salpingectomy twenty two 23. Large knowledge that are driven in order to select possible differences in problem are necessary. The risks and you will great things about salpingectomy is talked about which have clients who want permanent sterilization. Intentions to do a keen opportunistic salpingectomy should not change the required station regarding hysterectomy 49.

Obstetrician–gynecologists would be to still observe and exercise minimally invasive techniques. Once the great things about opportunistic salpingectomy are not totally elucidated, vaginal hysterectomy really should not be made into a laparoscopic hysterectomy merely to perform a salpingectomy. Knowledge one assessed the feasibility of salpingectomy in the course of vaginal hysterectomy show that opportunistic salpingectomy are effectively did 75–88% of time. Factors you to definitely salpingectomy cannot performed incorporated pelvic or adnexal adhesions and fallopian hoses that may not utilized vaginally 45 46. Intends to perform a keen opportunistic salpingectomy shouldn’t alter the created route out-of hysterectomy forty-two.


  1. Siegel RL , Miller KD , Jemal An excellent . Cancer statistics, 2018 . Ca Cancer tumors J Clin 2018 ; 68 : 7 – 29 . Article Cities:

Copyright laws 2019 of the American University out of Obstetricians and you can Gynecologists. Every liberties booked. Zero section of it guide tends to be reproduced, stored in a great recovery system, printed on line, otherwise transmitted, in every form otherwise at all, digital, mechanized, photocopying, tape, if not, versus prior composed consent about publisher.

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Opportunistic salpingectomy while the a technique for epithelial ovarian malignant tumors reduction. ACOG Panel Viewpoint Zero. 774. Western University regarding Obstetricians and you will Gynecologists. Obstet Gynecol 2019;133:e279–84.


This article is designed given that a beneficial funding to help clinicians from inside the getting obstetric and gynecologic care, and employ with the info is voluntary. This short article really should not be regarded as including the correct solutions or methods of worry otherwise once the a statement of the degree of care. This is not meant to option to the new independent professional judgment of your dealing with clinician. Variations in routine can be warranted whenever, on the sensible wisdom of the managing clinician, for example action to take is shown of the condition of your patient, constraints away from available info, or advances for the education or technical. This new American College or university regarding Obstetricians and you can Gynecologists analysis their e-books continuously; not, their publications will most likely not mirror the most up-to-date research. One reputation to that file can be found with the or because of the getting in touch with the ACOG Financing Cardio.

When you’re ACOG can make every energy presenting direct and you will reliable information, it publication emerges “as it is” with no guarantee regarding accuracy, reliability, otherwise, New Orleans escort possibly share or designed. ACOG will not verify, warrant, otherwise recommend the products or features of any company, company, otherwise individual. Neither ACOG nor the officers, administrators, participants, employees, otherwise representatives will be responsible for people loss, damage, or allege in terms of any liabilities, together with lead, unique, secondary, otherwise consequential damage, sustained in this regard publication or dependence on what exhibited.


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