Rationale for opportunistic salpingectomy during gynecological surgery for a benign condition: A review of the available literature - 29/09/20
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Highlights |
• | Several ovarian cancer subtypes originate from the Fallopian tube. |
• | Opportunistic bilateral salpingectomy at the time of hysterectomy and sterilization is associated with a reduced risk of ovarian cancer. |
• | Opportunistic salpingectomy is not associated with increased perioperative morbidity. |
• | Considering its positive impact on the risk of ovarian cancer, opportunistic salpingectomy is cost-effective. |
Abstract |
Introduction |
Recent discoveries have shed light on the benefits of opportunistic salpingectomy in the prevention of ovarian cancer. However, in this time of increasing interest in the parameters of ovarian reserve, there are no national recommendations on the subject. This literature review provides an enlightened look at the rationale for performing an opportunistic salpingectomy.
Objectives |
To evaluate the benefits and risks associated with opportunistic salpingectomy during surgery for a benign gynecological condition.
Material and methods: We carried out a systematic review of the literature using the Pubmed/Medline search engine and the Cochrane database.
Results |
A total of 61 articles were selected from over 300 references. The protective impact against cancer, which is widely demonstrated in the literature, is proof of the benefit of this procedure. Furthermore, no increase in intraoperative morbidity has been noted. However, the clinical impact on the ovarian reserve remains uncertain (in particular the occurrence of early pre-menopausal symptoms during the perimenopausal period). Nonetheless, the socioeconomic analysis supports performing opportunistic salpingectomy.
Conclusion |
Performing opportunistic salpingectomy does not appear to cause an increase in morbidity but the impact on ovarian function is uncertain. The fact that there is a proven benefit of such a procedure against cancer indicates that prior to any surgery a clear discussion should be held with the patient in which they should be fully informed.
Le texte complet de cet article est disponible en PDF.Abbreviations : EOC, CNGOF, SFOG, RCOG, ACOG, SGO
Keywords : Opportunistic salpingectomy, Hysterectomy, Ovarian cancer, Complications
Plan
Vol 49 - N° 8
Article 101829- octobre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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