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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Does prophylactic bilateral salpingectomy during pelviscopic hysterectomy increase perioperative morbidity?
1 Department of Gynecology and Obstetrics, Ortenauklinikum Offenburg, Offenburg, Germany
Eur. J. Gynaecol. Oncol. 2016, 37(6), 771–774; https://doi.org/10.12892/ejgo3248.2016
Published: 10 December 2016
Purpose of investigation: To compare the safety of additional salpingectomies in patients undergoing laparoscopic hysterectomies for benign indication. Materials and Methods: The study was conducted in the Ortenau Klinikum Offenburg (Baden-Wurttemberg, Germany). Classical laparoscopic hysterectomies were performed between 2010 and 2011 and a prophylactic salpingectomy was added thereafter. The authors analysed the postoperative complications until 2013 according to the Clavien-Dindo scale in performing a logistic regression model adjusted on potential confounders. They also analysed other surgery outcomes such as operative time, duration of the hospital stay, and the blood loss during the surgery. Results: Over 301 patients were retrieved from the records. Postoperative complication rates were not different between the two groups (13.8% versus 14.2 % patients, OR = 0.93 [0.47 – 1.84], p = 0.84). Other outcomes were also not different. Conclusion: Prophylactic salpingectomy performed during a laparoscopic hysterectomy for benign conditions seems to be safe and recommended. Prospective studies especially with respect to the magnitude of the prophylactic effect are needed.
Ovarian cancer prevention