Abstract
Objective
Salpingectomy is proposed as a prophylactic measure to reduce the incidence of tubo-ovarian/pelvic
serous cancers. We surveyed the attitudes of obstetrician/gynecologists to incorporating
salpingectomy opportunistically into surgery for benign conditions, and electively
for young BRCA mutation carriers.
Study design
A questionnaire, designed to assess current standard clinical practice and willingness
to perform salpingectomy for female sterilization at abdominal hysterectomy for benign
disease (ABH), vaginal benign hysterectomy (VBH) and electively for women with BRCA
mutations who wish to postpone oophorectomy was mailed to obstetrician/gynecologists
working in Irish hospitals.
Results
In their current practice of interval female sterilization 96% of gynecologists applied
clips at laparoscopy and 4% performed salpingectomy, and 73% were willing to consider
salpingectomy. Eighty-one percent were willing to consider salpingectomy for sterilization
at cesarean section. Gynecologists performing hysterectomy (without oophorectomy)
for benign conditions did salpingectomy in 26% at ABH and 5.4% at VBH, and now 90%
would consider salpingectomy at ABH and 66% at VBH. Two-thirds of respondents would
consider salpingectomy for women at genetic risk of ovarian cancer who want to postpone
oophorectomy.
Conclusion
Changing general gynecological practice to include more opportunistic salpingectomy
has the potential to reduce the incidence of serous cancers. The majority of gynecologists
are willing to incorporate more salpingectomies into their surgical practices and
consider elective salpingectomy as an interim measure for women with defined genetic
risk of pelvic serous cancer.
Keywords
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Article Info
Publication History
Published online: July 08, 2013
Accepted:
June 24,
2013
Received in revised form:
May 13,
2013
Received:
September 23,
2012
Identification
Copyright
© 2013 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
