Salpingectomy During Vaginal Hysterectomy

Giraudet, Géraldine; Rubod, Chrystèle; Collinet, Pierre; Cosson, Michel

doi:10.1097/aog.0000000000002746

Cited by 10 publications

(4 citation statements)

References 6 publications

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“…It is crucial to have clear dissection with maximum visualization of the fallopian tube in order to remove the entire length of the fallopian tube from the isthmus to the fimbriae. There are multiple approaches described in recent studies to make salpingectomy easier and safer during vaginal hysterectomy, including the round ligament technique, posterior rotation of the uterus, and performing laparoscopically assisted vaginal hysterectomy (LAVH) instead of total vaginal hysterectomy [14][15][16]. An article in 2018 describes a technique that includes posterior rotation of the uterus during vaginal hysterectomy to remove tubes with reported success in all attempts in over 60 cases [15].…”

Section: Discussionmentioning

confidence: 99%

“…There are multiple approaches described in recent studies to make salpingectomy easier and safer during vaginal hysterectomy, including the round ligament technique, posterior rotation of the uterus, and performing laparoscopically assisted vaginal hysterectomy (LAVH) instead of total vaginal hysterectomy [14][15][16]. An article in 2018 describes a technique that includes posterior rotation of the uterus during vaginal hysterectomy to remove tubes with reported success in all attempts in over 60 cases [15]. A recent study of a cohort with pelvic organ prolapse found a 0% failure rate to perform intended salpingo-oophorectomy in LAVH compared to a 36% failure rate in total vaginal hysterectomy [16].…”

Section: Discussionmentioning

confidence: 99%

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Development of Hydrosalpinx After Prior Vaginal Hysterectomy and Bilateral Salpingectomy

Lai,

Masten,

Markese

2024

Cureus

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Hydrosalpinx is defined as the obstruction and fluid distension of the fallopian tube. It is most often seen in the setting of pelvic inflammatory disease, but preserved fallopian tubes or tubal segments after hysterectomy can also develop hydrosalpinx. This case report highlights an instance of painful hydrosalpinx after vaginal hysterectomy and advocates for the complete removal of fallopian tubes as the standard of care at the time of hysterectomy of any route. In this case, a 40-year-old female, G4P3104, with a history of vaginal hysterectomy and prophylactic bilateral salpingectomy for abnormal uterine bleeding and symptomatic uterine leiomyoma two years prior, presented with one month of left lower quadrant pain. She was found to have an anechoic, tubular structure adjacent to the left ovary on transvaginal ultrasound. At the time of diagnostic laparoscopy, a 10x4 centimeter (cm) dilated hydrosalpinx was found and removed. Pathology confirmed the hydrosalpinx, and the patient's pain resolved after the surgery. Given our findings of painful hydrosalpinx following incomplete bilateral salpingectomy at the time of vaginal hysterectomy, attempts at the removal of the entire fallopian tube including the fimbriae are strongly recommended to prevent the morbidity of repeated surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Development of Hydrosalpinx After Prior Vaginal Hysterectomy and Bilateral Salpingectomy

Lai,

Masten,

Markese

2024

Cureus

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“…144 Giraudet et al demonstrated a simple technique to safely perform opportunistic salpingectomy during vaginal hysterectomy and reported success in all attempts (more than 60 cases). 145…”

Section: Current Trendmentioning

confidence: 99%

Opportunistic Salpingectomy: A New Scope of Preventing a Deadly Disease

Shermin,

Noor

2024

Delta Med Col J

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Background: Symptoms of ovarian cancer are non-specific and often do not arise until the cancer is in a late stage. Such late onset of symptoms and the lack of an effective screening test result in diagnosis at an advanced-stage for most patients of ovarian cancer. The fimbrial end of the fallopian tube has recently been suggested as the site of origin for epithelial ovarian cancers (EOC). Therefore, a change in practice with opportunistic salpingectomy (OS) at the time of hysterectomy has been advocated for prevention of ovarian cancer. Different gynaecological societies have published statements in favour of opportunistic salpingectomy in women at average population risk for ovarian cancer prevention. In recent years, salpingectomy has been increasingly performed for tubal sterilization also. We have gone through the available scientific publications and international guidelines in preparing this brief review in an attempt tobe familiar with the recent updated views regarding this issue. Delta Med Col J. Jan 2021;9(1):37-57

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“…However, which technique damages the blood flow to the ovary is unknown. The most-used method in laparoscopic hysterectomy is bipolar electrocautery [13,19].…”

Section: Introductionmentioning

confidence: 99%

Possible Association of Hysterectomy Accompanied with Opportunistic Salpingectomy with Early Menopause: A Retrospective Cohort Study

Chen

Ding

2022

IJERPH

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Opportunistic salpingectomies (OSs) are concurrently performed with hysterectomies to prevent epithelial ovarian cancer. This study aimed to investigate the correlation between OS and early menopause in females who have undergone hysterectomies. This was a retrospective cohort study involving 79 females who had undergone a hysterectomy, with or without an OS, between January 2007 and December 2015. Their ages at surgery, at menopause, and the lengths of time from surgery to menopause were compared. An OS had been performed in 54 and not performed in 25 of the enrolled patients, comprising the OS and non-OS groups. Body mass index was significantly higher in the OS group (OS: 25.27 ± 4.17 vs. non-OS: 22.97 ± 3.27, p = 0.01). Additionally, menopausal sleep problems were more prevalent in the OS group than in the non-OS group (41% vs. 12%, p = 0.01). Notably, the time from surgery to menopause was significantly shorter in the OS group than in the non-OS group (OS: 1.84 ± 1.85 vs. non-OS: 2.93 ± 2.43, p = 0.031). After adjusting the covariates, the OS group was associated with a significantly shorter period between surgery and menopause (p = 0.029). In conclusion, these results showed that a hysterectomy plus an OS might cause earlier menopause than a hysterectomy only. An OS should be preoperatively discussed with patients regarding the possibility of early menopause. The findings of this study require further large-scale investigations to reinforce the results.

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Salpingectomy During Vaginal Hysterectomy

Abstract: We demonstrate a simple technique to safely perform opportunistic salpingectomy during a vaginal hysterectomy.

Cited by 10 publications

References 6 publications

Development of Hydrosalpinx After Prior Vaginal Hysterectomy and Bilateral Salpingectomy

Development of Hydrosalpinx After Prior Vaginal Hysterectomy and Bilateral Salpingectomy

Opportunistic Salpingectomy: A New Scope of Preventing a Deadly Disease

Possible Association of Hysterectomy Accompanied with Opportunistic Salpingectomy with Early Menopause: A Retrospective Cohort Study

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