According to a health care professional survey away from members of the fresh new Western School of Obstetricians and you may Gynecologists, 77% manage two-sided salpingectomy at the time of hysterectomy having ordinary symptoms. The brand new participants and additionally did bilateral salpingectomy during the time of sterilization on adopting the rates: 53% during period sterilization, 26% throughout the postpartum sterilization; and you can 37% while in the cesarean deliveries 43. Except that a critical upsurge in medical going back to salpingectomy that have hysterectomy (sixteen moments) sufficient reason for sterilization (ten full minutes), no significant differences in amount of medical sit, readmissions, blood transfusions, or postoperative issue, attacks, and you can temperature were known in the circumstances having and you may in place of salpingectomy 22 23. Larger knowledge that will be powered in order to position you are able to differences in issue are essential. The dangers and you may great things about salpingectomy can be talked about having customers who want long lasting sterilization. Plans to create a keen opportunistic salpingectomy must not change the created route away from hysterectomy 44.
Obstetrician–gynecologists should darmowe online rate my date serwisy randkowe dla singli consistently to see and practice minimally invasive techniques. Once the advantages of opportunistic salpingectomy aren’t totally elucidated, genital hysterectomy really should not be changed to a great laparoscopic hysterectomy only to perform a good salpingectomy. Knowledge you to reviewed the fresh feasibility out of salpingectomy in the course of vaginal hysterectomy show that opportunistic salpingectomy shall be efficiently performed 75–88% of the time. Grounds one salpingectomy couldn’t be done incorporated pelvic or adnexal adhesions and you may fallopian tubes that will never be utilized vaginally forty-five 46. Plans to create an enthusiastic opportunistic salpingectomy shouldn’t replace the intended channel from hysterectomy forty-two.
Records
- Siegel RL , Miller KD , Jemal A great . Cancers statistics, 2018 . California Malignant tumors J Clin 2018 ; 68 : eight – 31 . Post Metropolitan areas:
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Opportunistic salpingectomy just like the a strategy for epithelial ovarian cancers cures. ACOG Committee Advice Zero. 774. Western University off Obstetricians and you can Gynecologists. Obstet Gynecol 2019;133:e279–84.
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