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Taking the tube: Uptake of salpingectomy at the time of hysterectomy for benign indications
Author(s) -
Lin Yee S.,
Cole Alana M.,
Lyes Susannah,
Hunter Erika K.
Publication year - 2017
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12582
Subject(s) - salpingectomy , medicine , hysterectomy , fallopian tube , obstetrics , ovarian cancer , incidence (geometry) , gynecology , surgery , general surgery , cancer , pregnancy , genetics , physics , optics , biology , ectopic pregnancy
Background International guidelines recommend the fallopian tubes be removed at the time of hysterectomy, to lower the incidence of ovarian cancer in women. Aims To determine the rate of salpingectomy at the time of hysterectomy at our institution and to discuss a standard rate. Materials and Methods Hysterectomies ( n = 200) performed for benign indications from 13 January 13, 2015 until 26 April 26, 2016 were reviewed. Results The overall rate of salpingectomy was 76.0%. Factors associated with non‐completion were uterovaginal prolapse indication and vaginal surgical approach. Conclusions Rates of completing salpingectomy with hysterectomy are high. There may be additional opportunity for ovarian cancer reduction. No standard rate has been published but considering difficulty with removal of fallopian tubes in certain cases, it may not be 100%. Our data allows for comparison by other units performing similar studies. We recommend the formal adoption of local guidelines regarding salpingectomy at the time of hysterectomy for benign indications in order to keep local practice up to date with international recommendations.