Feasibility and Outcomes of Opportunistic Bilateral Salpingectomy in Patients with Traditional Relative Contraindications to Vaginal Hysterectomy

Chichura, Anna; Yao, Meng; Bretschneider, C. Emi; Ridgeway, Beri; Kho, Rosanne M.

doi:10.1016/j.jmig.2019.12.002

Cited by 4 publications

(8 citation statements)

References 27 publications

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“…When evaluating surgical outcomes, we included only five studies 21,22,24–26 assessing patients undergoing VH with planned opportunistic salpingectomy. The most widely described surgical outcomes were postoperative complications (501 participants in 4 studies) and length of stay (683 in 2 studies).…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 outlines the characteristics of the included studies. Five cohort studies 21,22,[24][25][26] included a total population of 935 patients undergoing VH with planned opportunistic salpingectomy. Two retrospective studies 20,23 included 14 172 women undergoing VH with and without opportunistic salpingectomy.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two retrospective studies 20,23 included 14 172 women undergoing VH with and without opportunistic salpingectomy. Overall, we included four retrospective cohort studies, 20,21,23,26 and three prospective cohort studies. 22,24,25 The majority of the studies came from the USA, 23,24,26 two studies from Canada, 20,21 and two other studies from France.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Overall, we included four retrospective cohort studies, 20,21,23,26 and three prospective cohort studies. 22,24,25 The majority of the studies came from the USA, 23,24,26 two studies from Canada, 20,21 and two other studies from France. 22,25 Five of the seven studies 21,22,[24][25][26] reported salpingectomy failure rates, defined as the inability to complete the procedure.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Opportunistic salpingectomy at the time of vaginal hysterectomy: A systematic review and meta‐analysis

Bonavina,

Busnelli,

Salmeri

et al. 2024

Intl J Gynecology & Obste

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BackgroundDespite the rising rates of opportunistic salpingectomy at the time of surgery for non‐malignant conditions, salpingectomy is not widely adopted during vaginal hysterectomy (VH) and has not been extensively investigated.ObjectivesThe aim of the primary study was to determine the feasibility of bilateral opportunistic salpingectomy at the time of VH. Secondary aims included surgical outcomes, factors associated with patient selection, and the prevalence of incidental tubal malignancies.Search StrategyIn this systematic review and meta‐analysis we searched Pubmed, Embase and ClinicalTrials.gov databases from inception to September 1, 2023, using relevant keywords.Selection CriteriaOriginal articles with no language restriction reporting outcomes of women undergoing planned VH with opportunistic salpingectomy, were considered eligible. Studies including patients undergoing VH with and without opportunistic salpingectomy were also included.Data Collection and AnalysisThe Newcastle‐Ottawa scale was used to assess quality of observational studies. DerSimonian–Laird random effects meta‐analysis was performed and pooled effect estimates and proportions with corresponding 95% confidence intervals were computed. Heterogeneity was assessed using the I2 statistic.ResultsSeven observational cohort studies including 4808 women undergoing opportunistic salpingectomy at the time of VH and 10 295 patients undergoing VH alone were selected. The pooled proportion of success was 81.83 per 100 observations (95% CI: 75.35–87.54). Opportunistic salpingectomy at the time of VH, when feasible, was associated with a significant reduction in intraoperative complications (OR 0.06, 95% CI: 0.01, −0.37, P = 0.03) and total operative time (95% CI: −17.80, −1.07, P = 0.03) compared to those where it failed. Successful salpingectomy was significantly hindered by nulliparity (OR 0.12, 95% CI: −17.69, −1.21, P < 0.001) and favored by pelvic organ prolapse (OR 3.20, 95% CI: 1.35, 7.55, P = 0.008). Immunohistochemical tubal abnormalities were found in 13/579 (2.1%) patients. The overall quality of the evidence, according to the GRADE assessment, was low.ConclusionOpportunistic salpingectomy is safe, effective, and feasible at the time of VH. Nulliparity and pelvic organ prolapse are factors potentially influencing surgical outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Opportunistic salpingectomy at the time of vaginal hysterectomy: A systematic review and meta‐analysis

Bonavina,

Busnelli,

Salmeri

et al. 2024

Intl J Gynecology & Obste

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“…Chichura et al estudiaron los resultados de la salpingooforectomía vía vaginal en pacientes con contraindicaciones relativas para dicho acceso y observaron que la tasa de éxito es similar. La ausencia de prolapso, antecedente de cesárea anterior o IMC > 30 se relaciona con un mayor riesgo de fracaso, mientras que un útero aumentado de tamaño predice una mayor probabilidad de éxito 26 . -Experiencia del cirujano.…”

Section: Discussionunclassified

¿Cómo decidir el abordaje más adecuado para realizar una histerectomía por patología benigna? Revisión bibliográfica

Gallardo-Martínez¹,

Brenner-Anidjar²,

Palomo-Rodríguez³

et al. 2023

RECHOG

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La histerectomía es uno de los principales procedimientos quirúrgicos en ginecología. Se calcula que en EE.UU. se realizan unas 500,000 anualmente y que una de cada nueve mujeres a lo largo de su vida se realizará dicha intervención. Los distintos abordajes (abdominal, vaginal, laparoscópico y robótico) presentan diferencias respecto al tiempo quirúrgico, complicaciones, dolor postoperatorio, estancia hospitalaria y gasto sanitario. Factores como el tamaño uterino, la accesibilidad

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Feasibility of opportunistic salpingectomy at the time of a vNOTES hysterectomy: A retrospective cohort

Anderson,

Garcia,

Fang

et al. 2023

Intl J Gynecology & Obste

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Feasibility and Outcomes of Opportunistic Bilateral Salpingectomy in Patients with Traditional Relative Contraindications to Vaginal Hysterectomy

Cited by 4 publications

References 27 publications

Opportunistic salpingectomy at the time of vaginal hysterectomy: A systematic review and meta‐analysis

Opportunistic salpingectomy at the time of vaginal hysterectomy: A systematic review and meta‐analysis

¿Cómo decidir el abordaje más adecuado para realizar una histerectomía por patología benigna? Revisión bibliográfica

Feasibility of opportunistic salpingectomy at the time of a vNOTES hysterectomy: A retrospective cohort

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