E-Posters-Feasibility and Outcomes of Opportunistic Bilateral Salpingectomy during Vaginal Hysterectomy in Patients with Traditional Relative Contraindications

Feasibility and Outcomes of Opportunistic Bilateral Salpingectomy during Vaginal Hysterectomy in Patients with Traditional Relative Contraindications - Anna M Chichura, MD

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This study examined the feasibility and outcomes of opportunistic bilateral salpingectomy (OBS) during vaginal hysterectomy (VH) in patients with traditional relative contraindications (RC). The fimbriated end of fallopian tubes has been associated with ovarian and fallopian tube cancers, and bilateral tubal ligation has been linked to a reduced risk of ovarian cancer. The aim of this study was to determine whether OBS is feasible in patients with difficult vaginal hysterectomies or traditional RC.<br /><br />A retrospective chart review was conducted on patients who underwent VH between November 2014 and October 2017. The study included patients with and without RC and evaluated factors that contributed to unsuccessful OBS. The results showed that OBS was successful in 86.8% of patients, with no significant difference in success rates between patients with and without RC.<br /><br />Factors that influenced the odds of unsuccessful OBS were obesity and prior cesarean sections. An enlarged uterus was associated with successful salpingectomy. When excluding enlarged uterus, patients with two or more RC had higher odds of unsuccessful OBS.<br /><br />The study also looked at postoperative complications and found no significant differences in length of stay, readmission for surgical complications, or postoperative complications between patients with successful OBS and those with unsuccessful OBS.<br /><br />In conclusion, OBS during VH for benign disease is feasible in patients with traditional RC. Patients should be counseled about the higher likelihood of unsuccessful OBS in the presence of obesity and prior cesarean sections.

Keywords

opportunistic bilateral salpingectomy

vaginal hysterectomy

relative contraindications

fallopian tubes

ovarian cancer

success rates

obesity

prior cesarean sections

postoperative complications

counseling