Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery
Authors Duncan JR, Jones HL, Hoffer SO, Schenone MH, Mari G
Received 16 July 2018
Accepted for publication 3 September 2018
Published 23 October 2018 Volume 2018:10 Pages 649—653
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Cristina Weinberg
Peer reviewer comments 4
Editor who approved publication: Professor Elie Al-Chaer
Jose R Duncan,1,2 Heather L Jones,1 Stefanie O Hoffer,1 Mauro H Schenone,1 Giancarlo Mari1
1Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA; 2Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL, USA
Objective: To compare surgical outcomes in patients undergoing bilateral salpingectomy (salpingectomy group) with those who had partial salpingectomy (partial salpingectomy group) during cesarean delivery.
Materials and methods: A chart review from July 2015 to November 2016 was performed. We included women who had sterilization during cesarean delivery. We excluded sterilization by occlusive methods. Our primary outcomes were total operative time and a composite score of transfusion rate, internal organ injury, hospital readmission, and endometritis. Secondary outcomes included menstrual abnormalities, pelvic pain, quality of life assessment, and regrets rate. We compared these outcomes between women in the salpingectomy and partial salpingectomy groups. Chi-squared, Fisher’s exact, t-test, and Mann–Whitney U were utilized for statistical analysis where appropriate. A P<0.05 was considered significant.
Results: We included a total of 160 pregnancies. Of these, 41 were in the salpingectomy and 119 in the partial salpingectomy group. The median total operative time was longer for the salpingectomy group (62 [IQR 54, 71] vs 60 minutes [IQR 46, 72]; P=0.03). The composite of surgical complications (19.5% vs 12.6%; P=0.28) was not significantly different between our study groups. Menstrual irregularities (P≥0.99), quality of life (P≥0.99), dyspareunia (P≥0.99), dysmenorrhea (P=0.36), and regrets (P≥0.99) were not different between groups.
Conclusion: Salpingectomy during cesarean delivery increased the median operative time by 2 minutes and may not be associated with an increased risk of surgical complications. We acknowledge the need for larger multi-center trials to corroborate our outcomes.
Keywords: opportunistic salpingectomy, ovarian cancer prevention, prophylactic salpingectomy, risk-reducing surgery, sterilization
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