Opportunistic bilateral salpingectomy during gynaecological surgery for benign disease: A survey of current <scp>A</scp>ustralian practice

Kapurubandara, Supuni; Qin, Victoria; Gurram, Divya; Anpalagan, Anbu; Merkur, Harry; Hogg, Russell; Brand, Alison

doi:10.1111/ajo.12402

Cited by 23 publications

(14 citation statements)

References 27 publications

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“…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 ]. Prophylactic salpingectomy at the time of hysterectomy for benign disease was applied to women in 70–80% of institutions accredited by an academic society and in 50–65% of institutions not accredited by an academic society in Japan [ 54 ].…”

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

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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.

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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

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“… 13 Recently, an Australian group described their practice of performing OS to prevent HGSC: 70% of respondents offered OS to women undergoing gynecologic surgery for benign indications. 22 At our hospital, the practice of offering OS began in 2007.…”

Section: Discussionmentioning

confidence: 99%

Trends of Opportunistic Salpingectomy

Ding¹,

Ci²,

Chu³

et al. 2018

JSLS

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Background and Objectives:This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute.Methods:This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hysterectomy performed with or without OS. Parameters including patient age, operating time, surgical approach, length of hospital stay, and perioperative complications were evaluated.Results:There was an increase in the number of hysterectomies with OS (from 8% to 80%; P < .001) over the study period. Minimal additional operating time was necessary for hysterectomy with OS (3.7 and 3.6 minutes in open and laparoscopic surgery, respectively). No significant differences were observed in the risks of hospital readmission or blood transfusions between women who underwent hysterectomy with OS performed with the open approach and those who underwent the procedure using the laparoscopic approach. From 2007 to 2015, the proportion of open hysterectomies decreased from 56% to 6%.Conclusion:The results of this 9-year follow-up study revealed that, as a cancer prevention method, OS seems to be feasible and safe, requires minimal extra time, and does not increase the morbidity or long-term sequelae.

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“…Seventy percent of the respondents offered OS to their patients principally due to the evidence suggesting the fallopian tubes as the origin for most epithelial ovarian cancers. The primary reasons cited not to offer OS however were due to insufficient evidence to benefit the patient or the provider being unaware of the evidence supporting OS ( Kapurubandara, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Physician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients

Fialkow

Castleberry

Wright

et al. 2021

Gynecologic Oncology Reports

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Opportunistic bilateral salpingectomy during gynaecological surgery for benign disease: A survey of current Australian practice

Abstract: The survey responses indicate that OBS is frequently discussed or offered in Australia, usually at the time of hysterectomy. Given the lack of robust evidence to suggest a benefit at a population-based level, a national registry is recommended to monitor outcomes.

Cited by 23 publications

References 27 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)

Trends of Opportunistic Salpingectomy

Physician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients

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