A randomized controlled trial of 2 techniques of salpingectomy during cesarean delivery

Lauterbach, Roy; Gruenwald, Oren; Matanes, Emad; Justman, Naphtali; Mor, Omer; Avrahami, Roni; Ghanem, Nadir; Zipori, Yaniv; Weiner, Zeev; Löwenstein, Lior

doi:10.1016/j.ajogmf.2022.100690

Cited by 2 publications

(10 citation statements)

References 16 publications

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“…33 They reported increased surgical time in the suture ligation group (16.16±9.53 minutes vs 5.19±3.57 minutes; P <.001). 33 They also noted an increase in need for blood transfusion in the suture ligation group compared with bipolar energy (five [20%] vs 0 [0%], P =.016). 33…”

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 93%

“…12,31 In addition to performing complete salpingectomy at the time of gynecologic surgery, many have suggested extending these recommendations to those undergoing postpartum permanent contraception procedures. 7,8,12,[32][33][34]…”

Section: Methods Of Postpartum Permanent Contraception and Associated...mentioning

confidence: 99%

“…33 They also noted an increase in need for blood transfusion in the suture ligation group compared with bipolar energy (five [20%] vs 0 [0%], P =.016). 33…”

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 98%

“…A randomized controlled trial published by Lauterbach et al, 33 in 2022 included 26 individuals randomized to bipolar energy and 25 to suture ligation complete salpingectomy; however, six of the suture ligation procedures were converted to bipolar energy and two could not be completed. 33 They reported increased surgical time in the suture ligation group (16.16±9.53 minutes vs 5.19±3.57 minutes; P <.001). 33 They also noted an increase in need for blood transfusion in the suture ligation group compared with bipolar energy (five [20%] vs 0 [0%], P =.016).…”

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 99%

“…3). 7,8,14,19,[32][33][34][36][37][38][39] In 2018, Subramaniam et al, 7 published a randomized controlled trial that evaluated SCORE (Salpingectomy at Cesarean for Ovarian Cancer Reduction) in 80 patients randomized to partial salpingectomy (Pomeroy or Parkland method) or complete salpingectomy with suture ligation at the time of planned cesarean delivery. Overall, 68% (27/40) complete salpingectomies compared with 95% (38/40) partial salpingectomies were completed (P5.002).…”

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 99%

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Postpartum Complete Salpingectomy as an Alternative to Traditional Partial Salpingectomy

McCarley,

Boitano,

Dilley

et al. 2023

Obstetrics &Amp; Gynecology

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In this narrative review, we describe evidence regarding the associated risks, benefits, and cost effectiveness of postpartum complete salpingectomy compared with partial salpingectomy. Permanent contraception can be performed via several methods, but complete salpingectomy is becoming more common secondary to its coincident benefit of ovarian cancer risk reduction. Small prospective studies and larger retrospective cohort studies have demonstrated the feasibility and safety of complete salpingectomy in the postpartum period. Additionally, multiple cost-effectiveness analyses have demonstrated the cost effectiveness of this method secondary to ovarian cancer reduction over the life span. Although future larger cohort studies will allow for more precise estimates of the effect of complete salpingectomy on ovarian cancer risk and incidence of rare complications, current data suggest that complete salpingectomy should be offered to patients as a method of permanent contraception in the postpartum period.

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Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 93%

Section: Methods Of Postpartum Permanent Contraception and Associated...mentioning

confidence: 99%

“…33 They also noted an increase in need for blood transfusion in the suture ligation group compared with bipolar energy (five [20%] vs 0 [0%], P =.016). 33…”

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 98%

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 99%

Section: Evidence On the Safety And Feasibility Of Complete Postpartu...mentioning

confidence: 99%

See 3 more Smart Citations

Postpartum Complete Salpingectomy as an Alternative to Traditional Partial Salpingectomy

McCarley,

Boitano,

Dilley

et al. 2023

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

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Salpingectomy at the Time of Cesarean Delivery: A Systematic Review

Ratu Alicia

2023

JARMHS

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Candidates for tubal sterilisation include women who have finished having children and who are looking for a method of birth control that is both highly effective and permanent. It is possible for it to be carried out at any point during a woman's menstrual cycle, as well as right after a child is born or an abortion is performed. Hysteroscopy, laparoscopy, or even a mini-laparotomy might be performed instead. It is important to have a conversation about the danger of regret as well as the characteristics that increase the likelihood of regret, such as a young age at the time of sterilization (less than 30 years), a lower parity, sterilization administered in the immediate postpartum period, divorce or remarriage following sterilization, and being poor or of Hispanic origin. It would appear that being a young adult at the time of the sterilization is the most significant indicator of regret. It is extremely important to keep in mind that this does not provide full protection. According to the findings of the CREST study, the failure rate across all procedures was 18.5 out of every 1000 procedures over the course of a 10-year period. Even in the event that a cesarean birth is performed unexpectedly, a mother request for postpartum permanent contraception in the form of bilateral total salpingectomy during cesarean delivery may be a procedure that is both safe and practicable.

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A randomized controlled trial of 2 techniques of salpingectomy during cesarean delivery

Cited by 2 publications

References 16 publications

Postpartum Complete Salpingectomy as an Alternative to Traditional Partial Salpingectomy

Postpartum Complete Salpingectomy as an Alternative to Traditional Partial Salpingectomy

Salpingectomy at the Time of Cesarean Delivery: A Systematic Review

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