Survey of pelvic reconstructive surgeons on performance of opportunistic salpingectomy at the time of pelvic organ prolapse repair

Hassani, Daisy; Mangel, Jeffrey; Mahajan, Sahil; Hijaz, Adonis; El-Nashar, Sherif A.; Sheyn, David

doi:10.1007/s00192-018-3652-0

Cited by 5 publications

(1 citation statement)

References 29 publications

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“…Garcia et al demonstrated that in 16.5 % of cases, salpingectomy is performed with vaginal hysterectomy, while in 55.8 % of cases, salpingectomy is performed with hyster¬ectomy via other routes. [15] According to studies that have examined the surgeons' tendency about salpingectomy during vaginal hysterectomy, the majority of physicians not perform salpingectomies due to the affair of increase in complications, increased operating room time and increased estimated blood loss with the addition of salpingectomy [15,16]. But in our study, there was no difference in operating time, median estimated blood loss, intraoperative complication and postoperative complication by the performance of salpingectomy (P>0.05).…”

Section: Discussionmentioning

confidence: 51%

Experience with opportunistic salpingectomy during vaginal hysterectomy for uterine prolapsus

Töz

Özcan

2019

Aegean J Obstet Gynecol

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Objective: The aim of this study was to evaluate the trend in uptake of salpingectomy at the time of vaginal hysterectomy after the Clinical Practice Statement of Society for Gynecologic Oncology and to assess the risk of operative/postoperative complications associated with salpingectomy during vaginal hysterectomy. Material and Methods: Patients who underwent vaginal hysterectomy or vaginal hysterectomy with salpingectomy for uterine prolapsus between January 2010 and January 2018 were analysed. We divided the patients into two groups to see the change in the rate of opportunistic salpingectomy after a systemwide practice recommendation was issued. Group 1 consist of patients who were operated between 2010-2014, before recommendation of the Society of Gynecologic Oncology that favour salpingectomy and Group 2 consist of patients operated after that. Results: From January 2010 to January 2018, a total of 1224 vaginal hysterectomies were performed. A total of 808 patients under 60 years old were included in the study. There was no difference in operating time, the median estimated blood loss, intraoperative complication and postoperative complication by the performance of salpingectomy (P>0.05). When we examine the changes in the rate of salpingectomy year by year, from 2014, the salpingectomy rates increased, being 4 % in 2013, 7 % in 2015, and 8 % in 2017 onward. Conclusion: We report an increase in the rate of salpingectomy during vaginal hysterectomies from 3 % to 7.2 % after the recommendation of the Society of Gynecologic Oncology that favour salpingectomy but this increase is not as great as the increase during laparoscopic or abdominal hysterectomies.

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Section: Discussionmentioning

confidence: 51%

Experience with opportunistic salpingectomy during vaginal hysterectomy for uterine prolapsus

Töz

Özcan

2019

Aegean J Obstet Gynecol

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Contained specimen morcellation during robotics-assisted laparoscopic supracervical hysterectomy for pelvic organ prolapse

Falus,

Lazarou,

Gabriel

et al. 2023

Int Urogynecol J

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Opportunistic salpingectomy during robotic sacrocolpopexy: Data to support a widely accepted practice

et al. 2023

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Survey of pelvic reconstructive surgeons on performance of opportunistic salpingectomy at the time of pelvic organ prolapse repair

Abstract: OS at the time prolapse repair is performed more frequently with concomitant hysterectomy compared with OS at the time of post-hysterectomy prolapse repair and is similar to rates of OS performed at the time of hysterectomy for non-prolapse indications.

Cited by 5 publications

References 29 publications

Experience with opportunistic salpingectomy during vaginal hysterectomy for uterine prolapsus

Experience with opportunistic salpingectomy during vaginal hysterectomy for uterine prolapsus

Contained specimen morcellation during robotics-assisted laparoscopic supracervical hysterectomy for pelvic organ prolapse

Opportunistic salpingectomy during robotic sacrocolpopexy: Data to support a widely accepted practice

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