État des lieux de la salpingectomie prophylatique en France

Chêne, Geneviève; Rochambeau, B. De; Bail-Carval, K. Le; Beaufils, É.; Chabert, Philippe; Méllier, G; Lamblin, G.

doi:10.1016/j.gyobfe.2016.05.003

Cited by 19 publications

(9 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, it was revealed that 45.5% of American physicians do not routinely perform prophylactic salpingectomy in real practice, and 69.4% of them said that they actually do not believe that salpingectomy exerts a preventive effect on ovarian cancer, in a survey study [ 49 ]. Although there is a wide discrepancy in the responses of physicians from European countries, 32.7–80% of physicians routinely perform prophylactic salpingectomy during benign gynecologic surgery [ 50 51 52 ]. In Austria, 70% (269/382) of the respondents stated that they would offer or discuss prophylactic salpingectomy in average-risk women undergoing gynecological surgery for benign indications, and that salpingectomy was the preferred method for surgical sterilization at the time of cesarean delivery [ 51 53 ].…”

Section: Other Position Statements On Prophylactic Salpingectomy and mentioning

confidence: 99%

Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG)

Kim

et al. 2018

Obstet Gynecol Sci

View full text Add to dashboard Cite

Based on the current understanding of a preventive effect of bilateral salpingectomy on ovarian/fallopian/peritoneal cancers, the Korean Society of Obstetrics and Gynecology, Korean Society of Gynecologic Endocrinology, Korean Society of Gynecologic Oncology, Korean Society of Maternal Fetal Medicine, and Korean Society for Reproductive Medicine support the following recommendations:• Women scheduled for hysterectomy for benign gynecologic disease should be informed that bilateral salpingectomy reduces the risk of ovarian/fallopian/peritoneal cancer, and they should be counseled regarding this procedure at the time of hysterectomy.• Although salpingectomy is generally considered as a safe procedure in terms of preserving ovarian reserve, there is a lack of evidences representing its long-term outcomes. Therefore, patients should be informed about the minimal potential of this procedure for decreasing ovarian reserve.• Prophylactic salpingectomy during vaginal hysterectomy is favorable in terms of prevention of ovarian/fallopian/peritoneal cancer, although operation-related complications minimally increase with this procedure, compared to the complications associated with vaginal hysterectomy alone. Conversion to open or laparoscopic approach from vaginal approach to perform prophylactic salpingectomy is not recommended.• Women who desire permanent sterilization at the time of cesarean delivery could be counseled for prophylactic salpingectomy before surgery on an individual basis.

show abstract

Section: Other Position Statements On Prophylactic Salpingectomy and mentioning

confidence: 99%

Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG)

Kim

et al. 2018

Obstet Gynecol Sci

View full text Add to dashboard Cite

show abstract

“…As the fallopian tube is the likely conduit for key factors resulting in the etiology and propagation of endometriosis, tubal occlusion is an important consideration for those women looking for permanent contraception. In these women, opportunistic salpingectomy also has the potential to reduce their risk of serous ovarian cancers and should be considered [ 134 – 137 ]. The latter strategy has been shown to be cost-effective [ 138 – 140 ].…”

Section: Prevention Strategies For Eaocsmentioning

confidence: 99%

Endometriosis and endometriosis-associated cancers: new insights into the molecular mechanisms of ovarian cancer development

Dawson¹,

Fernández²,

Anglesio³

et al. 2018

ecancer

View full text Add to dashboard Cite

Endometriosis is a fascinating disease that we strive to better understand. Molecular techniques are shedding new light on many important aspects of this disease: from pathogenesis to the recognition of distinct disease variants like deep infiltrating endometriosis. The observation that endometriosis is a cancer precursor has now been strengthened with the knowledge that mutations that are present in endometriosis-associated cancers can be found in adjacent endometriosis lesions. Recent genomic studies, placed in context, suggest that deep infiltrating endometriosis may represent a benign neoplasm that invades locally but rarely metastasises. Further research will help elucidate distinct aberrations which result in this phenotype. With respect to identifying those patients who may be at risk of developing endometriosis-associated cancers, a combination of molecular, pathological, and inheritance markers may define a high-risk group that might benefit from risk-reducing strategies.

show abstract

“…Currently there is no consensus regarding OS in the Netherlands, resulting in a large variety of practice, probably due to a lack of clear guidelines. According to previous research in other countries, 43%–77% of gynecologists discuss the possibility of an OS [131415]. It is likely that the adoption rate is influenced by several factors, which can be found on different levels, such as the innovation itself (OS), the organization of care, healthcare professionals attitudes towards OS and characteristics of the individual patient [16].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing decision-making around opportunistic salpingectomy: a nationwide survey

Steenbeek¹,

Lieshout

Aarts³

et al. 2019

J Gynecol Oncol

View full text Add to dashboard Cite

ObjectiveTo explore current practice and influencing factors on adoption of the opportunistic salpingectomy (OS), particularly regarding the decision making, to eventually enhance the development and implementation of clear guidelines.MethodsThis nationwide cross-sectional survey study was conducted in all hospitals in the Netherlands. An anonymous online survey was sent to gynecologists with special interest in gynecological oncology, gynecological endoscopy or urogynecology and all Dutch gynecology trainees. The survey mainly focused on current practice regarding OS and identification of influencing factors on the level of innovation, organization, healthcare professional and individual patient.ResultsThe response rate was 348 out of 597 gynecologists (58.3%) and 142 out of 340 trainees (41.8%). Current practice of discussing and performing the OS varied widely, with ovarian cancer (OC) risk reduction as most important supportive factor on innovation level. Supportive factors on the level of organization and healthcare provider were; working in a non-training hospital, knowledge of current literature and extensive work experience (in years and annual number of hysterectomies). On individual patient level, a vaginal approach of hysterectomy, negative family history for OC and the presence of firm adhesions were suppressive factors for the OS.ConclusionIn this study we evaluated the current practice regarding the opportunistic salpingectomy in the Netherlands and identified influencing factors on different levels to raise awareness and attribute to development of a targeted implementation strategy, on both national and international level.

show abstract

État des lieux de la salpingectomie prophylatique en France

Cited by 19 publications

References 33 publications

Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG)

Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG)

Endometriosis and endometriosis-associated cancers: new insights into the molecular mechanisms of ovarian cancer development

Factors influencing decision-making around opportunistic salpingectomy: a nationwide survey

Contact Info

Product

Resources

About