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Trends of Opportunistic Salpingectomy
BACKGROUND AND OBJECTIVES: This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute. METHODS: This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hyste...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158970/ https://www.ncbi.nlm.nih.gov/pubmed/30275673 http://dx.doi.org/10.4293/JSLS.2018.00004 |
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author | Ding, Dah-Ching Huang, Ci Chu, Tang-Yuan Wei, Yu-Chi Chen, Pao-Chu Hong, Mun-Kun |
author_facet | Ding, Dah-Ching Huang, Ci Chu, Tang-Yuan Wei, Yu-Chi Chen, Pao-Chu Hong, Mun-Kun |
author_sort | Ding, Dah-Ching |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute. METHODS: This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hysterectomy performed with or without OS. Parameters including patient age, operating time, surgical approach, length of hospital stay, and perioperative complications were evaluated. RESULTS: There was an increase in the number of hysterectomies with OS (from 8% to 80%; P < .001) over the study period. Minimal additional operating time was necessary for hysterectomy with OS (3.7 and 3.6 minutes in open and laparoscopic surgery, respectively). No significant differences were observed in the risks of hospital readmission or blood transfusions between women who underwent hysterectomy with OS performed with the open approach and those who underwent the procedure using the laparoscopic approach. From 2007 to 2015, the proportion of open hysterectomies decreased from 56% to 6%. CONCLUSION: The results of this 9-year follow-up study revealed that, as a cancer prevention method, OS seems to be feasible and safe, requires minimal extra time, and does not increase the morbidity or long-term sequelae. |
format | Online Article Text |
id | pubmed-6158970 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-61589702018-10-01 Trends of Opportunistic Salpingectomy Ding, Dah-Ching Huang, Ci Chu, Tang-Yuan Wei, Yu-Chi Chen, Pao-Chu Hong, Mun-Kun JSLS Scientific Paper BACKGROUND AND OBJECTIVES: This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute. METHODS: This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hysterectomy performed with or without OS. Parameters including patient age, operating time, surgical approach, length of hospital stay, and perioperative complications were evaluated. RESULTS: There was an increase in the number of hysterectomies with OS (from 8% to 80%; P < .001) over the study period. Minimal additional operating time was necessary for hysterectomy with OS (3.7 and 3.6 minutes in open and laparoscopic surgery, respectively). No significant differences were observed in the risks of hospital readmission or blood transfusions between women who underwent hysterectomy with OS performed with the open approach and those who underwent the procedure using the laparoscopic approach. From 2007 to 2015, the proportion of open hysterectomies decreased from 56% to 6%. CONCLUSION: The results of this 9-year follow-up study revealed that, as a cancer prevention method, OS seems to be feasible and safe, requires minimal extra time, and does not increase the morbidity or long-term sequelae. Society of Laparoendoscopic Surgeons 2018 /pmc/articles/PMC6158970/ /pubmed/30275673 http://dx.doi.org/10.4293/JSLS.2018.00004 Text en © 2018 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Paper Ding, Dah-Ching Huang, Ci Chu, Tang-Yuan Wei, Yu-Chi Chen, Pao-Chu Hong, Mun-Kun Trends of Opportunistic Salpingectomy |
title | Trends of Opportunistic Salpingectomy |
title_full | Trends of Opportunistic Salpingectomy |
title_fullStr | Trends of Opportunistic Salpingectomy |
title_full_unstemmed | Trends of Opportunistic Salpingectomy |
title_short | Trends of Opportunistic Salpingectomy |
title_sort | trends of opportunistic salpingectomy |
topic | Scientific Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158970/ https://www.ncbi.nlm.nih.gov/pubmed/30275673 http://dx.doi.org/10.4293/JSLS.2018.00004 |
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