Opportunistic bilateral salpingectomy during gynaecological surgery for benign disease: A survey of current Australian practice

The Australian & New Zealand Journal of Obstetrics & Gynaecology
Supuni KapurubandaraAlison H Brand

Abstract

Recent evidence supports the fallopian tube as the site of origin for many pelvic serous cancers (PSC) including epithelial ovarian cancers (EOC). As a result, a change in practice with opportunistic bilateral salpingectomy (OBS) at the time of hysterectomy has been advocated as a preventative strategy for PSC in a low-risk population. The aim of this study was to assess current clinical practice in Australia with respect to OBS during gynaecological surgery for benign indications. An anonymous online survey was sent to all active Royal Australian and New Zealand College of Obstetrics and Gynaecology (RANZCOG) Fellows in Australia. Data regarding clinician demographics and the proportion of clinicians offering OBS were collected. Reasons for and against offering or discussing OBS were sought. A descriptive analysis was performed. The response rate was 26% (280/1490) with 70% of respondents offering or discussing OBS to women undergoing gynaecological surgery for benign indications, usually at the time of abdominal (96%) or laparoscopic (76%) hysterectomy. The main reason for offering or discussing OBS was current evidence to suggest the fallopian tubes as the site of origin for most EOC. Main reasons for not offering OBS were i...Continue Reading

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Jun 12, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Matthew Cauldwell, Susan Bewley
Jul 2, 2016·Gynécologie, obstétrique & fertilité·G CheneG Lamblin
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Jul 15, 2017·International Urogynecology Journal·Gery LamblinGautier Chene
Jul 24, 2021·Gynecologic Oncology Reports·Michael FialkowVrunda B Desai

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