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The feasibility and safety of transvaginal bilateral salpingo‐oophorectomy
Author(s) -
Sewell Thomas,
Courtney Hannah,
Tawfeek Sherif,
Afifi Reda
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12458
Subject(s) - medicine , hysterectomy , surgery , oophorectomy , vagina , retrospective cohort study , gynecology
Objective To investigate the feasibility and safety of transvaginal bilateral salpingo‐oophorectomy ( BSO ). Methods The present retrospective case series included consecutive women who underwent transvaginal BSO at a single general gynecology unit at Weston General Hospital, Weston‐super‐Mare, UK , between February 1, 2011, and July 31, 2014. Transvaginal BSO procedures were performed by an experienced surgeon. Feasibility and safety outcomes were reviewed from patient case notes. Results There were 127 patients included in the analysis. In all, 109 patients underwent transvaginal BSO at the time of vaginal hysterectomy, whereas 18 women underwent this procedure following a previous vaginal hysterectomy. Transvaginal BSO was successful in 126 (99.2%) patients; adverse events occurred among nine (7.1%) patients, including a single occurrence of ureteric injury that was detected and repaired intraoperatively. Conclusion The present study demonstrated that transvaginal BSO was a feasible and safe procedure when conducted by an experienced surgeon.