• prior tubal ligation • pituitary or ovarian dysfunction • pelvic inflammatory disease • endometriosis or congenital sterility, OR; b.The procedure was performed in a life-threatening emergency in which a ... 58700 Salpingectomy, complete or partial, unilateral or bilateral (separate procedure) Hydrosalpinx, torsion, and tubal pregnancy are all potential complications of tubal ligation, which often require an additional procedure [5,6]. Tubal ligation is generally the first choice. Copyright © 2020 Elsevier Inc. All rights reserved. risk-reducing salpingectomy; risk-reducing surgery; salpingectomy; sterilization; surgery to reduce the risk of ovarian cancer; tubal ligation. There are greater risks, a longer recovery time, and a higher cost associated with tubal ligation. The quality of included studies was determined using the Cochrane Collaboration tool for assessing the risk of bias in randomized trials. Bilateral salpingectomy at CD takes on average 15 min longer than bilateral tubal ligation; Estimated blood loss and safety outcomes similar for both procedures; Bilateral salpingectomy at the time of CD is a feasible option for permanent sterilization; Counsel patients considering bilateral salpingectomy at CD about: increased operative time 2017 Jun;39(6):480-493. doi: 10.1016/j.jogc.2016.12.005. increase of 0.58 +/-0.98 vs 0.39 +/-0.41 ng/mL in the salpingectomy and tubal ligation groups, respectively (P =0.45). Tubal ligation — also known as having your tubes tied or tubal sterilization — is a type of permanent birth control. 344-Opportunistic Salpingectomy and Other Methods of Risk Reduction for Ovarian/Fallopian Tube/Peritoneal Cancer in the General Population. Abstracts and full-text articles were assessed by 2 authors independently using the blinded coding assignment function or EPPI-Reviewer 4. doi: 10.1016/j.ajog.2018.08.032.  |  COVID-19 is an emerging, rapidly evolving situation. There are two sterilization methods for women who choose to end childbearing: ligation and removal. Medical Record Fax: 984-974-0471 and Phone: 984-974-3226 Articles were excluded if they did not meet the inclusion criteria or if data were not reported and the authors did not respond to inquiries. Conclusions. Salpingectomy refers to the surgical removal of a Fallopian tube.This may be done to treat an ectopic pregnancy or cancer, to prevent cancer, or as a form of contraception.. Overview. Keywords: ... You have a very smart GYN for suggesting bilateral laparoscopic salpingectomy rather than doing the traditional ligation. GYN Appointment: 984-974-1592, © 2020 UNC Department of Obstetrics & Gynecology, Tubal ligation is recommended over tubal removal for sterilization at time of delivery, Caring for women at every stage of their lives…, UNC Department of Obstetrics & Gynecology, UNC Department of Obstetrics and Gynecology, “Cost-effectiveness of opportunistic salpingectomy vs tubal ligation at the time of cesarean delivery,”, Elisabeth Johnson, PhD, NP receives the CARN-AP Carolyn Jewell “Steel Magnolia” Scholarship, UNC Horizons to receive portion of $10.1 million in grant to increase access to opioid treatment, Incoming UNC OB-GYN Chair Dr. Genevieve Neal-Perry named to list of 100 inspiring black scientists in America. For women who are already undergoing pelvic surgery (e.g., cesarean section, salpingectomy, or resection for ectopic pregnancy), concurrent tubal ligation … 919-966-5280 (p) Other UNC OB-GYN authors on the paper are Leslie Clark, MD, assistant professor in the Division of Gynecologic Oncology, and David Stamilio, MD, MSCE, professor in the Division of Maternal-Fetal Medicine. The risk of complications of salpingectomy needs to be better defined before it can be the recommended method for sterilization during a cesarean section. While tubal ligation also substantially decreases ovarian cancer risk, it is slightly less effective than salpingectomy. Conclusion: Sterilization by salpingectomy appears to be as safe as tubal ligation regarding operative complications and subsequent ovarian reserve. 919-966-6049 (f), Hospital Operator: 919-966-4131 10. Until more data is available, Venkatesh recommends tubal ligation, and not salpingectomy, as the preferred approach for sterilization during cesarean delivery. Aetna considers the following procedures medically necessary for tubal ligation sterilization: 1. A single study reported a reduced rate of pregnancies with salpingectomy (risk ratio, 0.22; 95% confidence interval, 0.05-1.02), but this did not reach statistical significance (P=.05). We conclude from these data that salpingectomy is as safe and efficacious as tubal ligation for sterilization and may be preferred, where appropriate, to reduce the risk of ovarian cancer. doi: 10.1002/14651858.CD003034.pub3. Tubal ligation is considered a permanent method of sterilization and birth control However, in general there is a halachic preference to minimize the amount of destruction to the reproductive organs. Salvador S, Scott S, Francis JA, Agrawal A, Giede C. J Obstet Gynaecol Can. Cost-effectiveness of opportunistic salpingectomy vs tubal ligation at the time of cesarean delivery. Hum Reprod Update. INTRODUCTION. Techniques for the interruption of tubal patency for female sterilisation. Tubal ligation requires general anesthetic or strong regional, so the anesthesia is already more significant, and the side effects from that can be more significant than that for a vasectomy. Salpingectomy is the surgical removal of one (unilateral) or both (bilateral) fallopian tubes. Chapel Hill, NC 27599 Salpingectomy was completed in 95% of participants. We included randomized controlled trials comparing salpingectomy with tubal ligation in women seeking sterilization. Clipboard, Search History, and several other advanced features are temporarily unavailable. Summary A salpingectomy has several uses, and a surgeon may use various approaches. Though salpingectomy would likely be just as effective at preventing ovarian cancer, the safety of this procedure with cesarean is not known.”. No difference was demonstrated between the groups regarding surgical complications and postoperative Tubal ligation was not associated with risk of borderline ovarian tumors. We searched PubMed, the Cochrane Library, Embase, and clinical trials registries without time or language restrictions. group who used more traditional surgical instruments, which may account for the difference in findings We confirmed that tubal ligation reduces the risk of epithelial ovarian cancer and particularly endometrioid cancer. Both techniques are performed laparoscopically, meaning through small incisions in the belly. For sterilization during cesarean section not salpingectomy, as the preferred approach sterilization... Ja, Agrawal a, Giede C. J Obstet Gynaecol can were by... Were longer by an average 13 minutes ( 66.0 +/-20.5 vs 52.3 +/-15.8 minutes, P ). 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