Does prophylactic bilateral salpingectomy during pelviscopic hysterectomy increase perioperative morbidity?

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.