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Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery
OBJECTIVE: To compare surgical outcomes in patients undergoing bilateral salpingectomy (salpingectomy group) with those who had partial salpingectomy (partial salpingectomy group) during cesarean delivery. MATERIALS AND METHODS: A chart review from July 2015 to November 2016 was performed. We includ...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204850/ https://www.ncbi.nlm.nih.gov/pubmed/30425586 http://dx.doi.org/10.2147/IJWH.S180329 |
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author | Duncan, Jose R Jones, Heather L Hoffer, Stefanie O Schenone, Mauro H Mari, Giancarlo |
author_facet | Duncan, Jose R Jones, Heather L Hoffer, Stefanie O Schenone, Mauro H Mari, Giancarlo |
author_sort | Duncan, Jose R |
collection | PubMed |
description | OBJECTIVE: To compare surgical outcomes in patients undergoing bilateral salpingectomy (salpingectomy group) with those who had partial salpingectomy (partial salpingectomy group) during cesarean delivery. MATERIALS AND METHODS: A chart review from July 2015 to November 2016 was performed. We included women who had sterilization during cesarean delivery. We excluded sterilization by occlusive methods. Our primary outcomes were total operative time and a composite score of transfusion rate, internal organ injury, hospital readmission, and endometritis. Secondary outcomes included menstrual abnormalities, pelvic pain, quality of life assessment, and regrets rate. We compared these outcomes between women in the salpingectomy and partial salpingectomy groups. Chi-squared, Fisher’s exact, t-test, and Mann–Whitney U were utilized for statistical analysis where appropriate. A P<0.05 was considered significant. RESULTS: We included a total of 160 pregnancies. Of these, 41 were in the salpingectomy and 119 in the partial salpingectomy group. The median total operative time was longer for the salpingectomy group (62 [IQR 54, 71] vs 60 minutes [IQR 46, 72]; P=0.03). The composite of surgical complications (19.5% vs 12.6%; P=0.28) was not significantly different between our study groups. Menstrual irregularities (P≥0.99), quality of life (P≥0.99), dyspareunia (P≥0.99), dysmenorrhea (P=0.36), and regrets (P≥0.99) were not different between groups. CONCLUSION: Salpingectomy during cesarean delivery increased the median operative time by 2 minutes and may not be associated with an increased risk of surgical complications. We acknowledge the need for larger multi-center trials to corroborate our outcomes. |
format | Online Article Text |
id | pubmed-6204850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-62048502018-11-13 Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery Duncan, Jose R Jones, Heather L Hoffer, Stefanie O Schenone, Mauro H Mari, Giancarlo Int J Womens Health Original Research OBJECTIVE: To compare surgical outcomes in patients undergoing bilateral salpingectomy (salpingectomy group) with those who had partial salpingectomy (partial salpingectomy group) during cesarean delivery. MATERIALS AND METHODS: A chart review from July 2015 to November 2016 was performed. We included women who had sterilization during cesarean delivery. We excluded sterilization by occlusive methods. Our primary outcomes were total operative time and a composite score of transfusion rate, internal organ injury, hospital readmission, and endometritis. Secondary outcomes included menstrual abnormalities, pelvic pain, quality of life assessment, and regrets rate. We compared these outcomes between women in the salpingectomy and partial salpingectomy groups. Chi-squared, Fisher’s exact, t-test, and Mann–Whitney U were utilized for statistical analysis where appropriate. A P<0.05 was considered significant. RESULTS: We included a total of 160 pregnancies. Of these, 41 were in the salpingectomy and 119 in the partial salpingectomy group. The median total operative time was longer for the salpingectomy group (62 [IQR 54, 71] vs 60 minutes [IQR 46, 72]; P=0.03). The composite of surgical complications (19.5% vs 12.6%; P=0.28) was not significantly different between our study groups. Menstrual irregularities (P≥0.99), quality of life (P≥0.99), dyspareunia (P≥0.99), dysmenorrhea (P=0.36), and regrets (P≥0.99) were not different between groups. CONCLUSION: Salpingectomy during cesarean delivery increased the median operative time by 2 minutes and may not be associated with an increased risk of surgical complications. We acknowledge the need for larger multi-center trials to corroborate our outcomes. Dove Medical Press 2018-10-23 /pmc/articles/PMC6204850/ /pubmed/30425586 http://dx.doi.org/10.2147/IJWH.S180329 Text en © 2018 Duncan et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Duncan, Jose R Jones, Heather L Hoffer, Stefanie O Schenone, Mauro H Mari, Giancarlo Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
title | Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
title_full | Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
title_fullStr | Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
title_full_unstemmed | Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
title_short | Bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
title_sort | bilateral salpingectomy versus bilateral partial salpingectomy during cesarean delivery |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204850/ https://www.ncbi.nlm.nih.gov/pubmed/30425586 http://dx.doi.org/10.2147/IJWH.S180329 |
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