European journal of gynaecological oncology · 2016
Does prophylactic bilateral salpingectomy during pelviscopic hysterectomy increase perioperative morbidity?
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Schrot-Sanyan S, Brandt A, Minstedt K, Akladios C
Аннотация
UNLABELLED: Purpose ofinvestigation: To compare the safety of additional salpingectomies in patients undergoing laparoscopic hysterectomies for benign indication.
MATERIALS AND METHODS: The study was conducted in the Ortenau Klinikum Offenburg (Baden-Wirttemberg, Germany). Classical laparoscopic hysterectomies were performed between 2010 and 2011 and a prophylactic salpingectomy was added thereafter. The authors analysed the postoperative complications until 2013 according to the Clavien-Dindo scale in performing a logistic regression model adjusted on potential confounders. They also analysed other surgery outcomes such as operative time, duration of the hospital stay, and the blood loss during the surgery.
RESULTS: Over 301 patients were retrieved from the records. Postoperative complication rates were not different between the two groups (13.8% versus 14.2 % patients, OR = 0.93 [0.47 - 1.84], p = 0.84). Other outcomes were also not different.
CONCLUSION: Prophylactic salpingectomy performed during a laparoscopic hysterectomy for benign conditions seems to be' safe and recommended. Prospective studies especially with respect to the magnitude of the prophylactic effect are needed.
MATERIALS AND METHODS: The study was conducted in the Ortenau Klinikum Offenburg (Baden-Wirttemberg, Germany). Classical laparoscopic hysterectomies were performed between 2010 and 2011 and a prophylactic salpingectomy was added thereafter. The authors analysed the postoperative complications until 2013 according to the Clavien-Dindo scale in performing a logistic regression model adjusted on potential confounders. They also analysed other surgery outcomes such as operative time, duration of the hospital stay, and the blood loss during the surgery.
RESULTS: Over 301 patients were retrieved from the records. Postoperative complication rates were not different between the two groups (13.8% versus 14.2 % patients, OR = 0.93 [0.47 - 1.84], p = 0.84). Other outcomes were also not different.
CONCLUSION: Prophylactic salpingectomy performed during a laparoscopic hysterectomy for benign conditions seems to be' safe and recommended. Prospective studies especially with respect to the magnitude of the prophylactic effect are needed.