Postpartum Permanent Sterilization: Could Bilateral Salpingectomy Replace Bilateral Tubal Ligation?

Danis, Rachel Blair; Badia, C.R. Della; Richard, Scott D.

doi:10.1016/j.jmig.2016.05.006

Cited by 45 publications

(33 citation statements)

References 10 publications

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“…Our study sought to determine if postpartum bilateral salpingectomy was equivalent to postpartum BTL in regards to these variables. Average surgical time was the only measurement that demonstrated statistical significance, with an average operative time difference of approximately 12 minutes [9]. This was in contrast to the retrospective study by McAlpine et al [10].…”

mentioning

confidence: 65%

It is Time to Replace Postpartum Tubal Ligation with Bilateral Salpingectomy

Danis¹,

Richard²

2016

Reproductive Immunol Open Acc

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mentioning

confidence: 65%

It is Time to Replace Postpartum Tubal Ligation with Bilateral Salpingectomy

Danis¹,

Richard²

2016

Reproductive Immunol Open Acc

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“…It was reported that tubal ligation is common in the USA [1819]. Therefore, this finding suggests that there is a large difference of contraceptive methods after delivery between Japan and the USA.…”

Section: Discussionmentioning

confidence: 87%

Opportunistic bilateral salpingectomy during benign gynecological surgery for ovarian cancer prevention: a survey of Gynecologic Oncology Committee of Japan Society of Obstetrics and Gynecology

et al. 2017

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ObjectiveRecent evidence has supported the concept that epithelial ovarian cancer (EOC) arises from the cells of the fallopian tube or endometrium. This study investigated current practice in Japan with respect to performing opportunistic bilateral salpingectomy (OBS) during gynecological surgery for benign disease for Ovarian Cancer Prevention.MethodsWe mailed a questionnaire to 767 hospitals and clinics, comprising 628 accredited training institutions of the Japan Society of Obstetrics and Gynecology (JSOG), Japan Society of Gynecologic Oncology (JSGO), or Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy (JSGOE) and 139 private institutions with at least one JSGOE-certified licensed gynecologic laparoscopist.ResultsAmong the 767 institutions, 444 (57.9%) provided responses, including 91 (20.6%) that were both JSGOE and JSGO accredited, 71 (16.0%) that were only JSGO accredited, 88 (19.8%) that were only JSGOE accredited, and 194 (43.7%) that were unaccredited. It was found that awareness and performance of OBS largely depended on the JSGO and/or JSGOE accreditation status. OBS was only performed at 54.0% of responding institutions and just 6.8% of the institutions were willing to participate in randomized controlled trials to validate this method for reducing the incidence of ovarian cancer.ConclusionThe JSOG Gynecologic Tumor Committee will announce its opinion on salpingectomy for ovarian cancer prevention to all JSOG members and will develop a system for monitoring the number of OBS procedures in Japan.

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“…Cesarean section is the most frequent operation performed in women worldwide and now in Egypt is considered to be an epidemic procedures, so this could be an opportunity to introduce the concept of bilateral total salpingectomies (BTS) as an effective sterilization procedure as well as ovarian cancer (OvCa) risk-reducing as a primary prevention in average-risk women for OvCa, in parturients undergoing CS and requiring permanent sterilization. Bilateral partial salpingectomies (BPS) is the commonest performed surgical sterilization at CS as it is easy, safe as well as highly feasible [18,19,20] . BPS is found to be the most effective tubal sterilization with low ectopic rate [13,14] as well as might reduce the ovarian cancer risk especially type I endometrioid and clear cell carcinoma between 42% and 78% [10,11,12] , however recent literatures introduce BTS as more effective superior procedure than BPS regarding contraceptive efficacy, eliminating risk of hydrosalpinges, pyosalpinges, adnexal accident, ectopics as well as effectively reducing OvCa especially type II high grade serous ovarian carcinomas (HGSOCs) as reviewed by Dilley et al [6] .…”

Section: Discussionmentioning

confidence: 99%

“…Also, this study demonstrated that both procedures were equally feasible as well as perioperative surgical consequences were similar (P > 0.05). Studies were evaluating BTS versus BPS at the time of CS concentrating on feasibility as well as perioperative surgical consequences [16,17,18,19,20,21,22] , while there is only one published RCT assessed procedures impacts on ovarian reserve (23). Researchers report a variable degree of feasibility, perioperative surgical consequences and this could be explained based on heterogeneity in surgical experiences as well as surgical techniques and surgical instruments.…”

Section: Discussionmentioning

confidence: 99%

“…These high surgical consequences with BTS are secondary to pregnancy-related pelvic engorgement and anatomical changes [15,16] . Trials comparing BPS versus BTS at Cs concentrated on surgical consequences evaluation [17,18,19,20,21,22] , rather than impacts of this surgical procedures on ovarian blood supply and its subsequent impacts on ovarian functions [23] .…”

Section: Introductionmentioning

confidence: 99%

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Impact of bilateral total salpingectomy versus standard tubal ligation at time of cesarean section on ovarian reserve: A randomized controlled trial

Elnory

Elmantwe

2019

Evidence Based Women's Health Journal

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Aim of the work: The objective of this trial was to compare between bilateral total salpingectomy (BTS) as a theoretically more effective ovarian cancer (OvCa) risk-reducing primary prevention and bilateral partial salpingectomy (BPS) [stander tubal ligation (STL)] procedures at time of cesarean section (CS) for parturients who completed their reproductive desire and requesting permanent sterilization regard to the impacts of both procedures on ovarian reserve parameters at one year post-sterilization as well as the surgical consequences of both procedures. Patients and Methods: This is a prospective, randomized, open-label, concealed allocation, parallel group, superiority trial was conducted at three surgical sites in El-Qulobia, Egypt including Benha University Hospital, Obstetrics and Gynecology Department between October 2015 and October 2017. 120 parturients undergoing CS were allocated to BTS (intervention group) (60) and BPS (control group) (60). Main outcomes were one year post-sterilization differences in ovarian reserve (OR) parameters including hormonal as well as two-dimensional and three-dimensional transvaginal ultrasonographic parameters ; namely, anti-müllerian hormone (AMH) (ng/ml), follicular stimulating hormone (FSH) (mIu/ml), peak systolic velocity (PSV) (cm/s), antral follicle count (AFC) (n), vascular index (VI) (%), flow index (FI) (0-100), vascular flow index (VFI) (0-100), calculated ovarian age [OvAge (year)] and ovarian volume. Ancillary outcomes were surgical feasibility and surgical consequences. Results: 102 women completed the one-year follow up (85%), 50 in the BTS group and 52 in the BPS group and there were no statistically significant differences regarding the ovarian reserve parameters at one year post-sterilization including AMH, FSH, AFC, VI, FI, VFI OvAge and ovarian volume (P > 0.05). Also, there were no statistically significant differences regarding items included in surgical. consequences comparison (P > 0.05) as well as surgical sterilization feasibility (100% vs 100%, p = 1). Also, there were no apparent complications due to sterilization procedures in both groups. Conclusion: Impacts of bilateral total salpingectomies (BTS) on ovarian reserve as sterilizing procedure during cesarean section as well as rates of surgical consequences are similar with that of bilateral partial salpingectomies (BPS) (STL). So, BTS could be recommended over BPS (STL) for women completing their reproductive desire, despite its better efficacy as ovarian cancer reducing surgery as well as its better clinical and sterilizing efficacy remained to be elucidated. .

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Postpartum Permanent Sterilization: Could Bilateral Salpingectomy Replace Bilateral Tubal Ligation?

Cited by 45 publications

References 10 publications

It is Time to Replace Postpartum Tubal Ligation with Bilateral Salpingectomy

It is Time to Replace Postpartum Tubal Ligation with Bilateral Salpingectomy

Opportunistic bilateral salpingectomy during benign gynecological surgery for ovarian cancer prevention: a survey of Gynecologic Oncology Committee of Japan Society of Obstetrics and Gynecology

Impact of bilateral total salpingectomy versus standard tubal ligation at time of cesarean section on ovarian reserve: A randomized controlled trial

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