Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG).
10.5468/ogs.2018.61.5.542
- Author:
Miseon KIM
1
;
Young Han KIM
;
Yong Beom KIM
;
Jayeon KIM
;
Jae Weon KIM
;
Mi Hye PARK
;
Joo Hyun PARK
;
Jeong Ho RHEE
;
Myong Cheol LIM
;
Joon Seok HONG
Author Information
1. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University School of Medicine, Seoul, Korea. miseonkim@chamc.co.kr
- Publication Type:Review
- Keywords:
Fallopian tubes;
Salpingectomy;
Ovarian neoplasms;
Hysterectomy;
Prophylactic surgical procedures
- MeSH:
Endocrinology;
Fallopian Tubes;
Female;
Genital Diseases, Female;
Gynecology*;
Humans;
Hysterectomy;
Hysterectomy, Vaginal;
Obstetrics*;
Ovarian Neoplasms;
Ovarian Reserve;
Prophylactic Surgical Procedures;
Reproductive Medicine;
Salpingectomy*;
Sterilization
- From:Obstetrics & Gynecology Science
2018;61(5):542-552
- CountryRepublic of Korea
- Language:English
-
Abstract:
Based on the current understanding of a preventive effect of bilateral salpingectomy on ovarian/fallopian/peritoneal cancers, the Korean Society of Obstetrics and Gynecology, Korean Society of Gynecologic Endocrinology, Korean Society of Gynecologic Oncology, Korean Society of Maternal Fetal Medicine, and Korean Society for Reproductive Medicine support the following recommendations:• Women scheduled for hysterectomy for benign gynecologic disease should be informed that bilateral salpingectomy reduces the risk of ovarian/fallopian/peritoneal cancer, and they should be counseled regarding this procedure at the time of hysterectomy.• Although salpingectomy is generally considered as a safe procedure in terms of preserving ovarian reserve, there is a lack of evidences representing its long-term outcomes. Therefore, patients should be informed about the minimal potential of this procedure for decreasing ovarian reserve.• Prophylactic salpingectomy during vaginal hysterectomy is favorable in terms of prevention of ovarian/fallopian/peritoneal cancer, although operation-related complications minimally increase with this procedure, compared to the complications associated with vaginal hysterectomy alone. Conversion to open or laparoscopic approach from vaginal approach to perform prophylactic salpingectomy is not recommended.• Women who desire permanent sterilization at the time of cesarean delivery could be counseled for prophylactic salpingectomy before surgery on an individual basis.
